38D2058867 CLIA NUMBER - KAISER PERMANENTE WESTSIDE SPECIALTY

Laboratory Demographics

  • CLIA Code: 38D2058867
  • Facility Name: KAISER PERMANENTE WESTSIDE SPECIALTY
  • Facility Address: 2875 NE STUCKI AVE
    HILLSBORO, OR
    ZIP 97124
  • Facility Phone: 971 310-3160
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MONA LABAR
  • NPI Number: 1801230529
  • Taxonomy: 3336I0012X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2058867
LAB Type Physician Office
Facility Name KAISER PERMANENTE WESTSIDE SPECIALTY
Street 2875 NE STUCKI AVE
City HILLSBORO
State OR
ZIP 97124
Phone 971 310-3160
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 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director MONA LABAR

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