38D2173315 CLIA NUMBER - ZOOMCARE CLACKAMAS

Laboratory Demographics

CLIA Number: 38D2173315

Facility Name: ZOOMCARE CLACKAMAS

Facility Address:
10221 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015
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Facility Phone Number: 503 941-3759

Facility Type: Other - CLINIC

Certificate Type: Microscopy

NPI Number: 1417566001

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	38D2173315
LAB Type	Other - CLINIC
Facility Name	ZOOMCARE CLACKAMAS
Street	10221 SE SUNNYSIDE RD
City	CLACKAMAS
State	OR
ZIP	97015
Phone	503 941-3759
CertificateType	3
CertificateEffectiveDate	4/13/2024
CertificateExpirationDate	4/12/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024