38D2004198 CLIA NUMBER - WEST LINN PORTLAND CBOC

Laboratory Demographics

  • CLIA Code: 38D2004198
  • Facility Name: WEST LINN PORTLAND CBOC
  • Facility Address: 1750 BLANKENSHIP ROAD
    WEST LINN, OR
    ZIP 97068
  • Facility Phone: 804 010-0000
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DEAN FONG
  • NPI Number: 1043769227
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 38D2004198
LAB Type Community Clinic
Facility Name WEST LINN PORTLAND CBOC
Street 1750 BLANKENSHIP ROAD
City WEST LINN
State OR
ZIP 97068
Phone 804 010-0000
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 3/1/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DEAN FONG

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