38D0624944 CLIA NUMBER - PROVIDENCE ST VINCENT LABORATORY SERVICES

Laboratory Demographics

  • CLIA Code: 38D0624944
  • Facility Name: PROVIDENCE ST VINCENT LABORATORY SERVICES
  • Facility Address: 9205 SW BARNES RD
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: 503 216-7732
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ALLAN SACKER
  • NPI Number: 1699804336
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 38D0624944
LAB Type Hospital
Facility Name PROVIDENCE ST VINCENT LABORATORY SERVICES
Street 9205 SW BARNES RD
City PORTLAND
State OR
ZIP 97225
Phone 503 216-7732
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Hospital
Lab Director DR. ALLAN SACKER

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