38D2047446 CLIA NUMBER - CLACKAMAS COUNTY JAIL MEDICAL

Laboratory Demographics

  • CLIA Code: 38D2047446
  • Facility Name: CLACKAMAS COUNTY JAIL MEDICAL
  • Facility Address: 2206 S KAEN ROAD
    OREGON CITY, OR
    ZIP 97045
  • Facility Phone: 205 536-8400
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: JILL CRUM DO
  • NPI Number: 1891042487
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2047446
LAB Type Other - COUNTY JAIL
Facility Name CLACKAMAS COUNTY JAIL MEDICAL
Street 2206 S KAEN ROAD
City OREGON CITY
State OR
ZIP 97045
Phone 205 536-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Other - COUNTY JAIL
Lab Director JILL CRUM DO

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