38D1074158 CLIA NUMBER - KARA M KASSAY MD PC

Laboratory Demographics

  • CLIA Code: 38D1074158
  • Facility Name: KARA M KASSAY MD PC
  • Facility Address: 12511 SW 68TH AVE
    PORTLAND, OR
    ZIP 97223
  • Facility Phone: 503 675-1137
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARA M. KASSAY MD
  • NPI Number: 1609968759
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D1074158
LAB Type Physician Office
Facility Name KARA M KASSAY MD PC
Street 12511 SW 68TH AVE
City PORTLAND
State OR
ZIP 97223
Phone 503 675-1137
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 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director KARA M. KASSAY MD

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