38D0861845 CLIA NUMBER - PROVIDENCE WOMEN'S CLINIC, EAST PORTLAND

Laboratory Demographics

  • CLIA Code: 38D0861845
  • Facility Name: PROVIDENCE WOMEN'S CLINIC, EAST PORTLAND
  • Facility Address: 4400 NE HALSEY, BUILDING 1, STE 285
    PORTLAND, OR
    ZIP 97213
  • Facility Phone: 503 215-6262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANYLLE KAPPLER
  • NPI Number: 1891822995
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0861845
LAB Type Physician Office
Facility Name PROVIDENCE WOMEN'S CLINIC, EAST PORTLAND
Street 4400 NE HALSEY, BUILDING 1, STE 285
City PORTLAND
State OR
ZIP 97213
Phone 503 215-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director DANYLLE KAPPLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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