38D2053629 CLIA NUMBER - PORTLAND PAIN CARE

Laboratory Demographics

  • CLIA Code: 38D2053629
  • Facility Name: PORTLAND PAIN CARE
  • Facility Address: 1849 NE 106TH AVE SUITE 201
    HILLSBORO, OR
    ZIP 97006
  • Facility Phone: 503 775-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROXANNE STAPLETON
  • NPI Number: 1376728097
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 38D2053629
LAB Type Physician Office
Facility Name PORTLAND PAIN CARE
Street 1849 NE 106TH AVE SUITE 201
City HILLSBORO
State OR
ZIP 97006
Phone 503 775-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director ROXANNE STAPLETON

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