38D2055108 CLIA NUMBER - PORTLAND AIRPORT FIRE AND RESCUE

Laboratory Demographics

  • CLIA Code: 38D2055108
  • Facility Name: PORTLAND AIRPORT FIRE AND RESCUE
  • Facility Address: 5250 NE MARINE DRIVE
    PORTLAND, OR
    ZIP 97218
  • Facility Phone: 503 460-4600
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: GREGORY L LORTS
  • NPI Number: 1811590615
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 38D2055108
LAB Type Mobile Laboratory
Facility Name PORTLAND AIRPORT FIRE AND RESCUE
Street 5250 NE MARINE DRIVE
City PORTLAND
State OR
ZIP 97218
Phone 503 460-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Mobile Laboratory
Lab Director GREGORY L LORTS

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