38D2287426 CLIA NUMBER - EXPANSIVE BEING LLC DBA AMENDA CLINIC

Laboratory Demographics

  • CLIA Code: 38D2287426
  • Facility Name: EXPANSIVE BEING LLC DBA AMENDA CLINIC
  • Facility Address: 314 NE 19TH AVE
    PORTLAND, OR
    ZIP 97232
  • Facility Phone: 503 239-8181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VERA C. ALCORN
  • NPI Number: 1265795991
  • Taxonomy: 175F00000X - Naturopath

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2287426
LAB Type Physician Office
Facility Name EXPANSIVE BEING LLC DBA AMENDA CLINIC
Street 314 NE 19TH AVE
City PORTLAND
State OR
ZIP 97232
Phone 503 239-8181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director VERA C. ALCORN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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