38D2239053 CLIA NUMBER - NORTHERN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 38D2239053
  • Facility Name: NORTHERN PEDIATRICS
  • Facility Address: 850 NE 122ND AVE
    PORTLAND, OR
    ZIP 97230
  • Facility Phone: 503 255-1432
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANH LINH T. HOANG MD
  • NPI Number: 1528691110
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D2239053
LAB Type Physician Office
Facility Name NORTHERN PEDIATRICS
Street 850 NE 122ND AVE
City PORTLAND
State OR
ZIP 97230
Phone 503 255-1432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Physician Office
Lab Director ANH LINH T. HOANG MD

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