38D2008605 CLIA NUMBER - ADVANCED PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 38D2008605
  • Facility Name: ADVANCED PAIN MANAGEMENT CENTER
  • Facility Address: 10305 SW PARK WAY STE 300
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: (503) 595-9001
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PETER S. KOSEK
  • NPI Number: 1467773663
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 38D2008605
LAB Type Physician Office
Facility Name ADVANCED PAIN MANAGEMENT CENTER
Street 10305 SW PARK WAY STE 300
City PORTLAND
State OR
ZIP 97225
Phone 5035959001
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/24/2026
Certificate Expiration Date 3/23/2028
Facility Type Physician Office
Lab Director DR. PETER S. KOSEK

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This page was last updated on: 5/18/2026