38D2002858 CLIA NUMBER - NORTHWEST PRIMARY CARE GROUP MFP

Laboratory Demographics

  • CLIA Code: 38D2002858
  • Facility Name: NORTHWEST PRIMARY CARE GROUP MFP
  • Facility Address: 3033 SE MONROE
    MILWAUKIE, OR
    ZIP 97222
  • Facility Phone: 503 659-4988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER HERBER MD
  • NPI Number: 1144319658
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2002858
LAB Type Physician Office
Facility Name NORTHWEST PRIMARY CARE GROUP MFP
Street 3033 SE MONROE
City MILWAUKIE
State OR
ZIP 97222
Phone 503 659-4988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director JENNIFER HERBER MD

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