38D0895265 CLIA NUMBER - PENDLETON FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 38D0895265
  • Facility Name: PENDLETON FAMILY MEDICINE
  • Facility Address: 2450 SW PERKINS AVE
    PENDLETON, OR
    ZIP 97801
  • Facility Phone: (541) 276-1700
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: ROBERT G. JOHNSON JR
  • NPI Number: 1285765883
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0895265
LAB Type Rural Health Clinic
Facility Name PENDLETON FAMILY MEDICINE
Street 2450 SW PERKINS AVE
City PENDLETON
State OR
ZIP 97801
Phone 5412761700
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 1/1/2026
Certificate Expiration Date 12/31/2027
Facility Type Rural Health Clinic
Lab Director ROBERT G. JOHNSON JR

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This page was last updated on: 5/18/2026