38D1003583 CLIA NUMBER - OREGON MEDICAL RESEARCH CENTER

Laboratory Demographics

  • CLIA Code: 38D1003583
  • Facility Name: OREGON MEDICAL RESEARCH CENTER
  • Facility Address: 1750 HARBOR WAY STE 330
    PORTLAND, OR
    ZIP 97201
  • Facility Phone: 503 245-1525
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BENJAMIN EHST
  • NPI Number: 1518195742
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 38D1003583
LAB Type Physician Office
Facility Name OREGON MEDICAL RESEARCH CENTER
Street 1750 HARBOR WAY STE 330
City PORTLAND
State OR
ZIP 97201
Phone 503 245-1525
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 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director BENJAMIN EHST

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