38D0623126 CLIA NUMBER - CRESTVIEW

Laboratory Demographics

  • CLIA Code: 38D0623126
  • Facility Name: CRESTVIEW
  • Facility Address: 6530 SW 30TH AVENUE
    PORTLAND, OR
    ZIP 97239
  • Facility Phone: 503 244-7533
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NATE DAWSON
  • NPI Number: 1922046606
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0623126
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESTVIEW
Street 6530 SW 30TH AVENUE
City PORTLAND
State OR
ZIP 97239
Phone 503 244-7533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NATE DAWSON

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