38D2050430 CLIA NUMBER - RETINA NORTHWEST, PC

Laboratory Demographics

  • CLIA Code: 38D2050430
  • Facility Name: RETINA NORTHWEST, PC
  • Facility Address: 5440 SW WESTGATE DR, STE 217
    PORTLAND, OR
    ZIP 97221
  • Facility Phone: 971 865-2782
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: APURVA K. PATEL
  • NPI Number: 1104813781
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 38D2050430
LAB Type Physician Office
Facility Name RETINA NORTHWEST, PC
Street 5440 SW WESTGATE DR, STE 217
City PORTLAND
State OR
ZIP 97221
Phone 971 865-2782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director APURVA K. PATEL

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