38D2104664 CLIA NUMBER - SUNNYSIDE COLLABORATIVE CARE

Laboratory Demographics

  • CLIA Code: 38D2104664
  • Facility Name: SUNNYSIDE COLLABORATIVE CARE
  • Facility Address: 16144 SE HAPPY VALLEY TOWN CENTER DR STE 214
    HAPPY VALLEY, OR
    ZIP 97086
  • Facility Phone: 503 658-7715
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALLY M SWAN MT ASCP
  • NPI Number: 1528488996
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2104664
LAB Type Physician Office
Facility Name SUNNYSIDE COLLABORATIVE CARE
Street 16144 SE HAPPY VALLEY TOWN CENTER DR STE 214
City HAPPY VALLEY
State OR
ZIP 97086
Phone 503 658-7715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director SALLY M SWAN MT ASCP

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