38D1072916 CLIA NUMBER - FAIRVIEW (EAST PORTLAND) CBOC

Laboratory Demographics

  • CLIA Code: 38D1072916
  • Facility Name: FAIRVIEW (EAST PORTLAND) CBOC
  • Facility Address: 1800 NE MARKET DRIVE
    FAIRVIEW, OR
    ZIP 97024
  • Facility Phone: (503) 220-8262
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DEAN FONG

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CLIA Record

Field Name Field Value
CLIA Number 38D1072916
LAB Type Community Clinic
Facility Name FAIRVIEW (EAST PORTLAND) CBOC
Street 1800 NE MARKET DRIVE
City FAIRVIEW
State OR
ZIP 97024
Phone 5032208262
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/28/2007
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DEAN FONG

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This page was last updated on: 5/18/2026