38D2200883 CLIA NUMBER - HELEN H PAK DC FNP LLC DBA KIMMI CLINIC

Laboratory Demographics

  • CLIA Code: 38D2200883
  • Facility Name: HELEN H PAK DC FNP LLC DBA KIMMI CLINIC
  • Facility Address: 12795 SW 3RD STREET
    BEAVERTON, OR
    ZIP 97005
  • Facility Phone: 503 641-4244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HELEN H. PAK
  • NPI Number: 1063531333
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2200883
LAB Type Physician Office
Facility Name HELEN H PAK DC FNP LLC DBA KIMMI CLINIC
Street 12795 SW 3RD STREET
City BEAVERTON
State OR
ZIP 97005
Phone 503 641-4244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director HELEN H. PAK

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