38D2155845 CLIA NUMBER - JERROLD L SNOW DO

Laboratory Demographics

  • CLIA Code: 38D2155845
  • Facility Name: JERROLD L SNOW DO
  • Facility Address: 6564 SE LAKE RD SUITE 200
    MILWAUKIE, OR
    ZIP 97222
  • Facility Phone: (503) 908-5880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JERROLD L. SNOW
  • NPI Number: 1053307645
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2155845
LAB Type Physician Office
Facility Name JERROLD L SNOW DO
Street 6564 SE LAKE RD SUITE 200
City MILWAUKIE
State OR
ZIP 97222
Phone 5039085880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director DR. JERROLD L. SNOW

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This page was last updated on: 5/15/2026