CREDENA HEALTH CLINIC
NPI 1366101966
Pharmacy - Community/Retail Pharmacy in Portland, OR
About Credena Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREDENA HEALTH CLINIC (NPI 1366101966) is a healthcare organization registered as a community/retail pharmacy in Portland, Oregon and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Mike Skafi, Avp/secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Other Names 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2216197
- Facility Type
- Pharmacy
- Certificate Effective Date
- March 10, 2025
- Certificate Expiration Date
- March 09, 2027
- Laboratory Director
- DANIKA KUSUMA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Credena Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PORTLAND, OR 97213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366101966, enumerated as an "organization" on December 10, 2021.
The provider is located at 5050 NE HOYT ST STE 222 PORTLAND, OR 97213 and the phone number is (503) 215-9968.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
