38D2034702 CLIA NUMBER - CLACKAMAS FREE CLINIC

Laboratory Demographics

  • CLIA Code: 38D2034702
  • Facility Name: CLACKAMAS FREE CLINIC
  • Facility Address: CLAIRMONT HALL 19600 MOLALLA AVE
    OREGON CITY, OR
    ZIP 97045
  • Facility Phone: 503 722-4400
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: CALLA E. MICHALAK
  • NPI Number: 1043566847
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2034702
LAB Type Community Clinic
Facility Name CLACKAMAS FREE CLINIC
Street CLAIRMONT HALL 19600 MOLALLA AVE
City OREGON CITY
State OR
ZIP 97045
Phone 503 722-4400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Community Clinic
Lab Director CALLA E. MICHALAK

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