38D2064049 CLIA NUMBER - HEALTHY LIVING COMMUNITY

Laboratory Demographics

  • CLIA Code: 38D2064049
  • Facility Name: HEALTHY LIVING COMMUNITY
  • Facility Address: 3605 SE 26TH AVE
    PORTLAND, OR
    ZIP 97202
  • Facility Phone: 971 231-4536
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: MATTHEW S. WHITACRE
  • NPI Number: 1700446085
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2064049
LAB Type Community Clinic
Facility Name HEALTHY LIVING COMMUNITY
Street 3605 SE 26TH AVE
City PORTLAND
State OR
ZIP 97202
Phone 971 231-4536
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 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Community Clinic
Lab Director MATTHEW S. WHITACRE

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