38D2058867 CLIA NUMBER - KAISER PERMANENTE WESTSIDE SPECIALTY

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Laboratory Demographics

CLIA Number: 38D2058867

Facility Name: KAISER PERMANENTE WESTSIDE SPECIALTY

Facility Address:
2875 NE STUCKI AVE
HILLSBORO, OR
ZIP 97124
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Facility Phone Number: 971 310-3160

Facility Type: Health Main. Organization

Certificate Type: Microscopy

NPI Number: 1801230529

Taxonomy: 3336I0012X - Pharmacy
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	38D2058867
LAB Type	Health Main. Organization
Facility Name	KAISER PERMANENTE WESTSIDE SPECIALTY
Street	2875 NE STUCKI AVE
City	HILLSBORO
State	OR
ZIP	97124
Phone	971 310-3160
CertificateType	3
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024