38D2278125 CLIA NUMBER - OUTSIDE IN-IDUHS

Laboratory Demographics

  • CLIA Code: 38D2278125
  • Facility Name: OUTSIDE IN-IDUHS
  • Facility Address: 1219 SW MAIN ST
    PORTLAND, OR
    ZIP 97205
  • Facility Phone: 503 535-3847
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: CARRIE M. KENT
  • NPI Number: 1306594445
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2278125
LAB Type Federally Qualified Health Center
Facility Name OUTSIDE IN-IDUHS
Street 1219 SW MAIN ST
City PORTLAND
State OR
ZIP 97205
Phone 503 535-3847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Federally Qualified Health Center
Lab Director CARRIE M. KENT

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