38D2268900 CLIA NUMBER - CLACKAMAS COUNTY WORK RELEASE

Laboratory Demographics

  • CLIA Code: 38D2268900
  • Facility Name: CLACKAMAS COUNTY WORK RELEASE
  • Facility Address: 9000 SE MCBROD AVE
    MILWAUKIE, OR
    ZIP 97222
  • Facility Phone: 205 536-8400
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: JILL CRUM
  • NPI Number: 1831581131
  • Taxonomy: 261QH0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2268900
LAB Type Other - COUNTY JAIL
Facility Name CLACKAMAS COUNTY WORK RELEASE
Street 9000 SE MCBROD AVE
City MILWAUKIE
State OR
ZIP 97222
Phone 205 536-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Other - COUNTY JAIL
Lab Director JILL CRUM

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