38D1075945 CLIA NUMBER - JANETTE L GREEN MD PC

Laboratory Demographics

  • CLIA Code: 38D1075945
  • Facility Name: JANETTE L GREEN MD PC
  • Facility Address: 10200 SW EASTRIDGE ST #105
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: 503 595-4402
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANETTE L GREEN MD
  • NPI Number: 1225029986
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D1075945
LAB Type Physician Office
Facility Name JANETTE L GREEN MD PC
Street 10200 SW EASTRIDGE ST #105
City PORTLAND
State OR
ZIP 97225
Phone 503 595-4402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director JANETTE L GREEN MD

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