38D1040441 CLIA NUMBER - CASCADE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 38D1040441
  • Facility Name: CASCADE FAMILY PRACTICE
  • Facility Address: 6542 SE LAKE ROAD, SUITE 202
    MILWAUKIE, OR
    ZIP 97222
  • Facility Phone: 503 233-5273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARL M. ERICKSON
  • NPI Number: 1881990570
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D1040441
LAB Type Physician Office
Facility Name CASCADE FAMILY PRACTICE
Street 6542 SE LAKE ROAD, SUITE 202
City MILWAUKIE
State OR
ZIP 97222
Phone 503 233-5273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Physician Office
Lab Director CARL M. ERICKSON

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