38D2139175 CLIA NUMBER - HOUSECALL PROVIDERS, LLC

Laboratory Demographics

  • CLIA Code: 38D2139175
  • Facility Name: HOUSECALL PROVIDERS, LLC
  • Facility Address: 5100 S MACADAM AVE, SUITE 200
    PORTLAND, OR
    ZIP 97239
  • Facility Phone: 971 202-5501
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PAMELA R. MINER
  • NPI Number: 1952856585
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2139175
LAB Type Hospice
Facility Name HOUSECALL PROVIDERS, LLC
Street 5100 S MACADAM AVE, SUITE 200
City PORTLAND
State OR
ZIP 97239
Phone 971 202-5501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Hospice
Lab Director PAMELA R. MINER

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