38D0964926 CLIA NUMBER - CASCADE WOMENS HEALTH PC

Laboratory Demographics

  • CLIA Code: 38D0964926
  • Facility Name: CASCADE WOMENS HEALTH PC
  • Facility Address: 1040 NW 22ND AVE SUITE 330
    PORTLAND, OR
    ZIP 97210
  • Facility Phone: 503 274-9936
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDNA KUNG
  • NPI Number: 1972515799
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 38D0964926
LAB Type Physician Office
Facility Name CASCADE WOMENS HEALTH PC
Street 1040 NW 22ND AVE SUITE 330
City PORTLAND
State OR
ZIP 97210
Phone 503 274-9936
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 EDNA KUNG

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