38D1067207 CLIA NUMBER - KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE

Laboratory Demographics

  • CLIA Code: 38D1067207
  • Facility Name: KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE
  • Facility Address: 9900 SE SUNNYSIDE RD
    CLACKAMAS, OR
    ZIP 97015
  • Facility Phone: 503 571-9147
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANNE AVERY
  • NPI Number: 1124134127
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 38D1067207
LAB Type Physician Office
Facility Name KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE
Street 9900 SE SUNNYSIDE RD
City CLACKAMAS
State OR
ZIP 97015
Phone 503 571-9147
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 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director ANNE AVERY

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