38D0858439 CLIA NUMBER - HOUSECALL PROVIDERS, PC

Laboratory Demographics

  • CLIA Code: 38D0858439
  • Facility Name: HOUSECALL PROVIDERS, PC
  • Facility Address: 5100 S MACADAM AVE, SUITE 200
    PORTLAND, OR
    ZIP 97239
  • Facility Phone: 971 202-5500
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: PAMELA R. MINER
  • NPI Number: 1619915774
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0858439
LAB Type Mobile Laboratory
Facility Name HOUSECALL PROVIDERS, PC
Street 5100 S MACADAM AVE, SUITE 200
City PORTLAND
State OR
ZIP 97239
Phone 971 202-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Mobile Laboratory
Lab Director PAMELA R. MINER

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