38D1022934 CLIA NUMBER - PROVIDENCE MEDICAL GROUP ORENCO

Laboratory Demographics

  • CLIA Code: 38D1022934
  • Facility Name: PROVIDENCE MEDICAL GROUP ORENCO
  • Facility Address: 5555 NE ELAM YOUNG PARKWAY
    HILLSBORO, OR
    ZIP 97124
  • Facility Phone: 503 216-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLE S. TRAJANO
  • NPI Number: 1003916354
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D1022934
LAB Type Physician Office
Facility Name PROVIDENCE MEDICAL GROUP ORENCO
Street 5555 NE ELAM YOUNG PARKWAY
City HILLSBORO
State OR
ZIP 97124
Phone 503 216-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director NICOLE S. TRAJANO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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