38D2059611 CLIA NUMBER - MP, LLC DBA MIRAMONT POINTE

Laboratory Demographics

  • CLIA Code: 38D2059611
  • Facility Name: MP, LLC DBA MIRAMONT POINTE
  • Facility Address: 11520 SE SUNNYSIDE ROAD
    CLACKAMAS, OR
    ZIP 97015
  • Facility Phone: 503 698-1600
  • Facility Type: Other - RESDIENTIAL CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: TREVOR TAYLOR
  • NPI Number: 1760427488
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2059611
LAB Type Other - RESDIENTIAL CARE FACILITY
Facility Name MP, LLC DBA MIRAMONT POINTE
Street 11520 SE SUNNYSIDE ROAD
City CLACKAMAS
State OR
ZIP 97015
Phone 503 698-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Other - RESDIENTIAL CARE FACILITY
Lab Director TREVOR TAYLOR

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