38D2151226 CLIA NUMBER - PAIN MANAGEMENT CONSULTANTS

Laboratory Demographics

  • CLIA Code: 38D2151226
  • Facility Name: PAIN MANAGEMENT CONSULTANTS
  • Facility Address: 120 N EVERST ST ST C
    NEWBERG, OR
    ZIP 97132
  • Facility Phone: (503) 292-7005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHOK JAYARAM
  • NPI Number: 1861692808
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 38D2151226
LAB Type Physician Office
Facility Name PAIN MANAGEMENT CONSULTANTS
Street 120 N EVERST ST ST C
City NEWBERG
State OR
ZIP 97132
Phone 5032927005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director ASHOK JAYARAM

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This page was last updated on: 5/18/2026