38D0706010 CLIA NUMBER - OUTSIDE IN-MAIN

Laboratory Demographics

  • CLIA Code: 38D0706010
  • Facility Name: OUTSIDE IN-MAIN
  • Facility Address: 1132 SW 13TH AVE
    PORTLAND, OR
    ZIP 97205
  • Facility Phone: (503) 535-3847
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: CARRIE M. KENT
  • NPI Number: 1104193283
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0706010
LAB Type Federally Qualified Health Center
Facility Name OUTSIDE IN-MAIN
Street 1132 SW 13TH AVE
City PORTLAND
State OR
ZIP 97205
Phone 5035353847
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/1/2026
Certificate Expiration Date 3/31/2028
Facility Type Federally Qualified Health Center
Lab Director CARRIE M. KENT

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This page was last updated on: 5/18/2026