38D1045955 CLIA NUMBER - POLK COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 38D1045955
  • Facility Name: POLK COUNTY JAIL
  • Facility Address: 884 SE JEFFERSON ST
    DALLAS, OR
    ZIP 97338
  • Facility Phone: (503) 623-9254
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DONNA MILLAN

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CLIA Record

Field Name Field Value
CLIA Number 38D1045955
LAB Type Prison
Facility Name POLK COUNTY JAIL
Street 884 SE JEFFERSON ST
City DALLAS
State OR
ZIP 97338
Phone 5036239254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Prison
Lab Director DONNA MILLAN

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This page was last updated on: 6/29/2026