38D0623604 CLIA NUMBER - VANCOUVER CLINIC - LOVEJOY

Laboratory Demographics

  • CLIA Code: 38D0623604
  • Facility Name: VANCOUVER CLINIC - LOVEJOY
  • Facility Address: 2222 NW LOVEJOY SUITE #505
    PORTLAND, OR
    ZIP 97210
  • Facility Phone: 360 397-3980
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: MIRIAM N. GRUNKEMEIER
  • NPI Number: 1639210610
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0623604
LAB Type Community Clinic
Facility Name VANCOUVER CLINIC - LOVEJOY
Street 2222 NW LOVEJOY SUITE #505
City PORTLAND
State OR
ZIP 97210
Phone 360 397-3980
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Community Clinic
Lab Director MIRIAM N. GRUNKEMEIER

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