38D2086947 CLIA NUMBER - GORGE NP PARTNERS, PC

Laboratory Demographics

  • CLIA Code: 38D2086947
  • Facility Name: GORGE NP PARTNERS, PC
  • Facility Address: 1210 DRY HOLLOW RD SUITE 4
    THE DALLES, OR
    ZIP 97058
  • Facility Phone: 541 296-4804
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VALERIE HIVELY-BLATZ
  • NPI Number: 1780128165
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2086947
LAB Type Practitioner Other
Facility Name GORGE NP PARTNERS, PC
Street 1210 DRY HOLLOW RD SUITE 4
City THE DALLES
State OR
ZIP 97058
Phone 541 296-4804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Practitioner Other
Lab Director VALERIE HIVELY-BLATZ

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