38D0625165 CLIA NUMBER - LABORATORY CORPORATION OF AMERICA

Laboratory Demographics

  • CLIA Code: 38D0625165
  • Facility Name: LABORATORY CORPORATION OF AMERICA
  • Facility Address: 1225 NE 2ND AVE
    PORTLAND, OR
    ZIP 97232
  • Facility Phone: 503 413-5000
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. BENJAMIN J. KUKULL
  • NPI Number: 1902059538
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 38D0625165
LAB Type Independent
Facility Name LABORATORY CORPORATION OF AMERICA
Street 1225 NE 2ND AVE
City PORTLAND
State OR
ZIP 97232
Phone 503 413-5000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Independent
Lab Director DR. BENJAMIN J. KUKULL

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