38D0624121 CLIA NUMBER - PORTLAND CLINIC NORTHEAST, THE

Laboratory Demographics

  • CLIA Code: 38D0624121
  • Facility Name: PORTLAND CLINIC NORTHEAST, THE
  • Facility Address: 5005 NE SANDY ST
    PORTLAND, OR
    ZIP 97213
  • Facility Phone: 503 221-0161
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MS. KAREN S. BINGHAM
  • NPI Number: 1275778235
  • Taxonomy: 231H00000X - Audiologist

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CLIA Record

Field Name Field Value
CLIA Number 38D0624121
LAB Type Physician Office
Facility Name PORTLAND CLINIC NORTHEAST, THE
Street 5005 NE SANDY ST
City PORTLAND
State OR
ZIP 97213
Phone 503 221-0161
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director MS. KAREN S. BINGHAM

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