38D2047698 CLIA NUMBER - MENLO PARK POST ACUTE

Laboratory Demographics

  • CLIA Code: 38D2047698
  • Facility Name: MENLO PARK POST ACUTE
  • Facility Address: 745 NORTHEAST 122ND AVE
    PORTLAND, OR
    ZIP 97230
  • Facility Phone: 503 252-0241
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAVID LARSON
  • NPI Number: 1659470193
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2047698
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MENLO PARK POST ACUTE
Street 745 NORTHEAST 122ND AVE
City PORTLAND
State OR
ZIP 97230
Phone 503 252-0241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DAVID LARSON

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