38D0624961 CLIA NUMBER - WOMEN'S HEALTHCARE ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 38D0624961
  • Facility Name: WOMEN'S HEALTHCARE ASSOCIATES LLC
  • Facility Address: 7650 SW BEVELAND ST SUITE 210
    PORTLAND, OR
    ZIP 97223
  • Facility Phone: 503 734-1215
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BENJAMIN J. KUKULL
  • NPI Number: 1366583460
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 38D0624961
LAB Type Physician Office
Facility Name WOMEN'S HEALTHCARE ASSOCIATES LLC
Street 7650 SW BEVELAND ST SUITE 210
City PORTLAND
State OR
ZIP 97223
Phone 503 734-1215
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 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director BENJAMIN J. KUKULL

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