38D0876443 CLIA NUMBER - MTN VIEW FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 38D0876443
  • Facility Name: MTN VIEW FAMILY PRACTICE
  • Facility Address: 24900 SE STARK ST SUITE 205
    GRESHAM, OR
    ZIP 97030
  • Facility Phone: 503 665-1010
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL V. PODETT MD
  • NPI Number: 1861520991
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0876443
LAB Type Physician Office
Facility Name MTN VIEW FAMILY PRACTICE
Street 24900 SE STARK ST SUITE 205
City GRESHAM
State OR
ZIP 97030
Phone 503 665-1010
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director PAUL V. PODETT MD

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