38D2238430 CLIA NUMBER - SAWUBONA LLC DBA NUTURA CLINIC

Laboratory Demographics

  • CLIA Code: 38D2238430
  • Facility Name: SAWUBONA LLC DBA NUTURA CLINIC
  • Facility Address: 1675 SW MARLOW AVE STE 301
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: 503 469-9818
  • Facility Type: Other - PRIMARY CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: ALOYSIUS N. FOBI
  • NPI Number: 1811519523
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 38D2238430
LAB Type Other - PRIMARY CARE CLINIC
Facility Name SAWUBONA LLC DBA NUTURA CLINIC
Street 1675 SW MARLOW AVE STE 301
City PORTLAND
State OR
ZIP 97225
Phone 503 469-9818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Other - PRIMARY CARE CLINIC
Lab Director ALOYSIUS N. FOBI

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