38D1008024 CLIA NUMBER - CONCENTRA - AIRPORT PORTLAND

Laboratory Demographics

  • CLIA Code: 38D1008024
  • Facility Name: CONCENTRA - AIRPORT PORTLAND
  • Facility Address: 12518 NE AIRPORT WAY #110
    PORTLAND, OR
    ZIP 97230
  • Facility Phone: 503 256-2992
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRYOL NOALL
  • NPI Number: 1275851073
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1008024
LAB Type Physician Office
Facility Name CONCENTRA - AIRPORT PORTLAND
Street 12518 NE AIRPORT WAY #110
City PORTLAND
State OR
ZIP 97230
Phone 503 256-2992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director TERRYOL NOALL

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