38D2057677 CLIA NUMBER - ANNETTE STEVKO DC CCSP

Laboratory Demographics

  • CLIA Code: 38D2057677
  • Facility Name: ANNETTE STEVKO DC CCSP
  • Facility Address: 4111 NE TILLAMOOK STREET
    PORTLAND, OR
    ZIP 97212
  • Facility Phone: 503 281-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNETTE M STEVKO DC CCSP
  • NPI Number: 1831125897
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 38D2057677
LAB Type Physician Office
Facility Name ANNETTE STEVKO DC CCSP
Street 4111 NE TILLAMOOK STREET
City PORTLAND
State OR
ZIP 97212
Phone 503 281-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director ANNETTE M STEVKO DC CCSP

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