38D2110103 CLIA NUMBER - NORTHWEST INTEGRATIVE MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 38D2110103
  • Facility Name: NORTHWEST INTEGRATIVE MEDICINE, PC
  • Facility Address: 15875 SW 72ND AVE
    PORTLAND, OR
    ZIP 97224
  • Facility Phone: 503 855-4341
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAEGHAN C. COOK
  • NPI Number: 1548632532
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 38D2110103
LAB Type Physician Office
Facility Name NORTHWEST INTEGRATIVE MEDICINE, PC
Street 15875 SW 72ND AVE
City PORTLAND
State OR
ZIP 97224
Phone 503 855-4341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director MAEGHAN C. COOK

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