38D2126122 CLIA NUMBER - THE REN CLINIC

Laboratory Demographics

  • CLIA Code: 38D2126122
  • Facility Name: THE REN CLINIC
  • Facility Address: 4424 NE GLISAN ST
    PORTLAND, OR
    ZIP 97213
  • Facility Phone: 503 477-5167
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA C SWEET ND LAC
  • NPI Number: 1346783784
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2126122
LAB Type Physician Office
Facility Name THE REN CLINIC
Street 4424 NE GLISAN ST
City PORTLAND
State OR
ZIP 97213
Phone 503 477-5167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director JESSICA C SWEET ND LAC

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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