38D0704414 CLIA NUMBER - ARNOLD L PETERSEN II MD

Laboratory Demographics

  • CLIA Code: 38D0704414
  • Facility Name: ARNOLD L PETERSEN II MD
  • Facility Address: 10101 SE MAIN SUITE 2001
    PORTLAND, OR
    ZIP 97216
  • Facility Phone: 503 256-0890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARNOLD L. PETERSEN II
  • NPI Number: 1154409316
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 38D0704414
LAB Type Physician Office
Facility Name ARNOLD L PETERSEN II MD
Street 10101 SE MAIN SUITE 2001
City PORTLAND
State OR
ZIP 97216
Phone 503 256-0890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director ARNOLD L. PETERSEN II

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