38D2113557 CLIA NUMBER - PINNACLE HOSPICE OF PORTLAND

Laboratory Demographics

  • CLIA Code: 38D2113557
  • Facility Name: PINNACLE HOSPICE OF PORTLAND
  • Facility Address: 10570 SE WASHINGTON ST SUITE 207
    PORTLAND, OR
    ZIP 97216
  • Facility Phone: 503 236-7454
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GLEN R PATRIZIO
  • NPI Number: 1003190547
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 38D2113557
LAB Type Hospice
Facility Name PINNACLE HOSPICE OF PORTLAND
Street 10570 SE WASHINGTON ST SUITE 207
City PORTLAND
State OR
ZIP 97216
Phone 503 236-7454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Hospice
Lab Director GLEN R PATRIZIO

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