38D2181298 CLIA NUMBER - MARCUS CORNWALL, DO, PC

Laboratory Demographics

  • CLIA Code: 38D2181298
  • Facility Name: MARCUS CORNWALL, DO, PC
  • Facility Address: 6542 SE LAKE ROAD, SUITE 202
    MILWAUKIE, OR
    ZIP 97222
  • Facility Phone: 503 233-5273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCUS H. CORNWALL
  • NPI Number: 1154514446
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2181298
LAB Type Physician Office
Facility Name MARCUS CORNWALL, DO, PC
Street 6542 SE LAKE ROAD, SUITE 202
City MILWAUKIE
State OR
ZIP 97222
Phone 503 233-5273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director MARCUS H. CORNWALL

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