38D2312520 CLIA NUMBER - PRIDEPOINT HEALTH

Laboratory Demographics

  • CLIA Code: 38D2312520
  • Facility Name: PRIDEPOINT HEALTH
  • Facility Address: 1827 NE 44TH AVE, STE 220
    PORTLAND, OR
    ZIP 97213
  • Facility Phone: 503 616-2877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN M. COE
  • NPI Number: 1417795626
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2312520
LAB Type Physician Office
Facility Name PRIDEPOINT HEALTH
Street 1827 NE 44TH AVE, STE 220
City PORTLAND
State OR
ZIP 97213
Phone 503 616-2877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director RYAN M. COE

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