38D2145761 CLIA NUMBER - CASCADIA PRIMARY CARE-GARLINGTON

Laboratory Demographics

  • CLIA Code: 38D2145761
  • Facility Name: CASCADIA PRIMARY CARE-GARLINGTON
  • Facility Address: 3036 NE MLK JR BLVD
    PORTLAND, OR
    ZIP 97212
  • Facility Phone: 503 963-7650
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ANDREA L. MATSUMURA
  • NPI Number: 1750959748
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2145761
LAB Type Federally Qualified Health Center
Facility Name CASCADIA PRIMARY CARE-GARLINGTON
Street 3036 NE MLK JR BLVD
City PORTLAND
State OR
ZIP 97212
Phone 503 963-7650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Federally Qualified Health Center
Lab Director ANDREA L. MATSUMURA

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