38D0668998 CLIA NUMBER - PORFIRIO PENA MD

Laboratory Demographics

  • CLIA Code: 38D0668998
  • Facility Name: PORFIRIO PENA MD
  • Facility Address: 5050 NE HOYT ST SUITE 203
    PORTLAND, OR
    ZIP 97213
  • Facility Phone: 503 230-9224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PORFIRIO PENA
  • NPI Number: 1255496709
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0668998
LAB Type Physician Office
Facility Name PORFIRIO PENA MD
Street 5050 NE HOYT ST SUITE 203
City PORTLAND
State OR
ZIP 97213
Phone 503 230-9224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director PORFIRIO PENA

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