38D2216520 CLIA NUMBER - LILITH CLINIC, THE

Laboratory Demographics

  • CLIA Code: 38D2216520
  • Facility Name: LILITH CLINIC, THE
  • Facility Address: 511 SW 10TH AVENUE, SUITE 904
    PORTLAND, OR
    ZIP 97205
  • Facility Phone: 503 221-1870
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHARLIE M. BROWNE
  • NPI Number: 1760076392
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2216520
LAB Type Physician Office
Facility Name LILITH CLINIC, THE
Street 511 SW 10TH AVENUE, SUITE 904
City PORTLAND
State OR
ZIP 97205
Phone 503 221-1870
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director DR. CHARLIE M. BROWNE

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