38D2270748 CLIA NUMBER - CRESTVIEW RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 38D2270748
  • Facility Name: CRESTVIEW RECOVERY, LLC
  • Facility Address: 2944 COUCH STREET
    PORTLAND, OR
    ZIP 97232
  • Facility Phone: (503) 477-8495
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: MERLE WILLIAMS
  • NPI Number: 1447605258
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2270748
LAB Type Comp. Outpatient Rehab Facility
Facility Name CRESTVIEW RECOVERY, LLC
Street 2944 COUCH STREET
City PORTLAND
State OR
ZIP 97232
Phone 5034778495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director MERLE WILLIAMS

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This page was last updated on: 5/18/2026