38D2049673 CLIA NUMBER - NORTHWEST PRIMARY CARE GROUP PC - OREGON CITY

Laboratory Demographics

  • CLIA Code: 38D2049673
  • Facility Name: NORTHWEST PRIMARY CARE GROUP PC - OREGON CITY
  • Facility Address: 1511 DIVISION ST SUITE 102
    OREGON CITY, OR
    ZIP 97045
  • Facility Phone: 503 659-4988
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALISHA B SAULTZ DO
  • NPI Number: 1043230972
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2049673
LAB Type Physician Office
Facility Name NORTHWEST PRIMARY CARE GROUP PC - OREGON CITY
Street 1511 DIVISION ST SUITE 102
City OREGON CITY
State OR
ZIP 97045
Phone 503 659-4988
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 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director ALISHA B SAULTZ DO

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