38D2002516 CLIA NUMBER - PROVIDENCE ARTHRITIS CENTER

Laboratory Demographics

  • CLIA Code: 38D2002516
  • Facility Name: PROVIDENCE ARTHRITIS CENTER
  • Facility Address: 5050 NE HOYT ST SUITE 155
    PORTLAND, OR
    ZIP 97213
  • Facility Phone: 503 215-6819
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. WAI L. LEE
  • NPI Number: 1487746491
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 38D2002516
LAB Type Physician Office
Facility Name PROVIDENCE ARTHRITIS CENTER
Street 5050 NE HOYT ST SUITE 155
City PORTLAND
State OR
ZIP 97213
Phone 503 215-6819
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director DR. WAI L. LEE

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