38D0917576 CLIA NUMBER - MILES HASSELL MD - LAB

Laboratory Demographics

  • CLIA Code: 38D0917576
  • Facility Name: MILES HASSELL MD - LAB
  • Facility Address: 9155 SW BARNES RD SUITE 302
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: 503 291-1777
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MILES HASSELL MD
  • NPI Number: 1558496273
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0917576
LAB Type Physician Office
Facility Name MILES HASSELL MD - LAB
Street 9155 SW BARNES RD SUITE 302
City PORTLAND
State OR
ZIP 97225
Phone 503 291-1777
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 MILES HASSELL MD

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