38D2129446 CLIA NUMBER - PEOPLES COMMUNITY CLINIC OF NEWBERG

Laboratory Demographics

CLIA Number: 38D2129446

Facility Name: PEOPLES COMMUNITY CLINIC OF NEWBERG

Facility Address:
1014 N SPRINGBROOK RD STE B
NEWBERG, OR
ZIP 97132
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Facility Phone Number: 503 449-8988

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215486626

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	38D2129446
LAB Type	Physician Office
Facility Name	PEOPLES COMMUNITY CLINIC OF NEWBERG
Street	1014 N SPRINGBROOK RD STE B
City	NEWBERG
State	OR
ZIP	97132
Phone	503 449-8988
CertificateType	4
CertificateEffectiveDate	4/19/2023
CertificateExpirationDate	4/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024