38D2010595 CLIA NUMBER - DR JOELS CLINIC

Laboratory Demographics

  • CLIA Code: 38D2010595
  • Facility Name: DR JOELS CLINIC
  • Facility Address: 5231 NE MARTIN LUTHER KING JR BLVD
    PORTLAND, OR
    ZIP 97211
  • Facility Phone: 503 342-2180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL A AMUNDSON MD
  • NPI Number: 1558548529
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D2010595
LAB Type Physician Office
Facility Name DR JOELS CLINIC
Street 5231 NE MARTIN LUTHER KING JR BLVD
City PORTLAND
State OR
ZIP 97211
Phone 503 342-2180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director JOEL A AMUNDSON MD

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