38D2134402 CLIA NUMBER - SUNSTONE PSYCHIATRIC, LLC

Laboratory Demographics

  • CLIA Code: 38D2134402
  • Facility Name: SUNSTONE PSYCHIATRIC, LLC
  • Facility Address: 2828 S KELLY AVE, STE 2B
    PORTLAND, OR
    ZIP 97201
  • Facility Phone: 503 477-7878
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANNIE E. HOOD
  • NPI Number: 1457856148
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2134402
LAB Type Practitioner Other
Facility Name SUNSTONE PSYCHIATRIC, LLC
Street 2828 S KELLY AVE, STE 2B
City PORTLAND
State OR
ZIP 97201
Phone 503 477-7878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Practitioner Other
Lab Director ANNIE E. HOOD

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