CLIA lab

CLIA 38D0623807: Pediatric Associates of the Northwest

Portland, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 38D0623807 belongs to Pediatric Associates of the Northwest in Portland, OR.

Certificate of Waiver, effective August 27, 2025, expires August 26, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 27, 2025
Certificate expiration
August 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
38D0623807
Lab name
Pediatric Associates of the Northwest
Address
2701 NW Vaughn Street Ste 360, Portland, OR 97210
Phone
(503) 227-0671
Fax
(503) 227-0676

Annual test volume the lab reported

Waived tests
2,623

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Portland, OR

Related

Questions

What is the CLIA number for Pediatric Associates of the Northwest in Portland?

38D0623807, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Associates of the Northwest hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 38D0623807 expire?

The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.

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