38D0947124 CLIA NUMBER - CENTER FOR HEALTH RESEARCH LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0947124
  • Facility Name: CENTER FOR HEALTH RESEARCH LABORATORY
  • Facility Address: 3800 N INTERSTATE AVE
    PORTLAND, OR
    ZIP 97227
  • Facility Phone: 503 335-2459
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: STEPHEN P FORTMAN
  • NPI Number: 1275781031
  • Taxonomy: 261QR1100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0947124
LAB Type Health Main. Organization
Facility Name CENTER FOR HEALTH RESEARCH LABORATORY
Street 3800 N INTERSTATE AVE
City PORTLAND
State OR
ZIP 97227
Phone 503 335-2459
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 Health Main. Organization
Lab Director STEPHEN P FORTMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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