38D1107523 CLIA NUMBER - NORTHWEST RENAL CLINIC INC

Laboratory Demographics

  • CLIA Code: 38D1107523
  • Facility Name: NORTHWEST RENAL CLINIC INC
  • Facility Address: 4224 NE HALSEY ST, STE 300
    PORTLAND, OR
    ZIP 97213
  • Facility Phone: 503 235-5509
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TODD HILBELINK MD
  • NPI Number: 1982931333
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D1107523
LAB Type Physician Office
Facility Name NORTHWEST RENAL CLINIC INC
Street 4224 NE HALSEY ST, STE 300
City PORTLAND
State OR
ZIP 97213
Phone 503 235-5509
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 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director TODD HILBELINK 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