38D0622950 CLIA NUMBER - PMG NEWBERG

Laboratory Demographics

  • CLIA Code: 38D0622950
  • Facility Name: PMG NEWBERG
  • Facility Address: 1000 PROVIDENCE DRIVE, SUITE 210
    NEWBERG, OR
    ZIP 97132
  • Facility Phone: 503 537-5900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAMARA J. RODGERS
  • NPI Number: 1003223959
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0622950
LAB Type Physician Office
Facility Name PMG NEWBERG
Street 1000 PROVIDENCE DRIVE, SUITE 210
City NEWBERG
State OR
ZIP 97132
Phone 503 537-5900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director TAMARA J. RODGERS

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This page was last updated on: 9/29/2025