38D2160121 CLIA NUMBER - MULTNOMAH COUNTY CORRECTIONS HEALTH

Laboratory Demographics

  • CLIA Code: 38D2160121
  • Facility Name: MULTNOMAH COUNTY CORRECTIONS HEALTH
  • Facility Address: 1120 SW 3RD AVE
    PORTLAND, OR
    ZIP 97204
  • Facility Phone: 503 988-4084
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Microscopy
  • Lab Director: ELEAZAR LAWSON
  • NPI Number: 1407418999
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2160121
LAB Type Other - COUNTY JAIL
Facility Name MULTNOMAH COUNTY CORRECTIONS HEALTH
Street 1120 SW 3RD AVE
City PORTLAND
State OR
ZIP 97204
Phone 503 988-4084
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 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Other - COUNTY JAIL
Lab Director ELEAZAR LAWSON

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