38D0919046 CLIA NUMBER - SONNY PARK MD LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0919046
  • Facility Name: SONNY PARK MD LABORATORY
  • Facility Address: 2120 EXCHANGE ST SUITE 200
    ASTORIA, OR
    ZIP 97103
  • Facility Phone: 503 325-5360
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SONNY PARK MD
  • NPI Number: 1801919980
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0919046
LAB Type Physician Office
Facility Name SONNY PARK MD LABORATORY
Street 2120 EXCHANGE ST SUITE 200
City ASTORIA
State OR
ZIP 97103
Phone 503 325-5360
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 SONNY PARK MD

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