38D0656842 CLIA NUMBER - MT TABOR HEALTH & REHABILITATION

Laboratory Demographics

  • CLIA Code: 38D0656842
  • Facility Name: MT TABOR HEALTH & REHABILITATION
  • Facility Address: 6040 SE BELMONT ST
    PORTLAND, OR
    ZIP 97215
  • Facility Phone: 503 231-7166
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: APRIL OLSEN
  • NPI Number: 1760282602
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0656842
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MT TABOR HEALTH & REHABILITATION
Street 6040 SE BELMONT ST
City PORTLAND
State OR
ZIP 97215
Phone 503 231-7166
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 APRIL OLSEN

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