38D0623999 CLIA NUMBER - OREGON CLINIC GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 38D0623999
  • Facility Name: OREGON CLINIC GASTROENTEROLOGY
  • Facility Address: 1111 NE 99TH AVE SUITE 301
    PORTLAND, OR
    ZIP 97220
  • Facility Phone: 503 963-2707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIDHARTH S. BHARDWAJ MD
  • NPI Number: 1366699464
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 38D0623999
LAB Type Physician Office
Facility Name OREGON CLINIC GASTROENTEROLOGY
Street 1111 NE 99TH AVE SUITE 301
City PORTLAND
State OR
ZIP 97220
Phone 503 963-2707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director SIDHARTH S. BHARDWAJ MD

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