38D2230527 CLIA NUMBER - CASCADIA PRIMARY CARE - TALBERT HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 38D2230527
  • Facility Name: CASCADIA PRIMARY CARE - TALBERT HEALTH CENTER
  • Facility Address: 12360 SE SUNNYSIDE RD
    CLACKAMAS, OR
    ZIP 97015
  • Facility Phone: 503 261-6388
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ANDREA L. MATSUMURA
  • NPI Number: 1184241721
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2230527
LAB Type Federally Qualified Health Center
Facility Name CASCADIA PRIMARY CARE - TALBERT HEALTH CENTER
Street 12360 SE SUNNYSIDE RD
City CLACKAMAS
State OR
ZIP 97015
Phone 503 261-6388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2023
Certificate Expiration Date 7/25/2025
Facility Type Federally Qualified Health Center
Lab Director ANDREA L. MATSUMURA

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This page was last updated on: 3/20/2025