38D2278902 CLIA NUMBER - MULTNOMAH COUNTY HEALTH DEPARTMENT MOBILE CLINIC

Laboratory Demographics

  • CLIA Code: 38D2278902
  • Facility Name: MULTNOMAH COUNTY HEALTH DEPARTMENT MOBILE CLINIC
  • Facility Address: 1620 SE 190TH
    PORTLAND, OR
    ZIP 97233
  • Facility Phone: 971 288-9011
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MATTHEW R. HOFFMAN
  • NPI Number: 1609016096
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2278902
LAB Type Mobile Laboratory
Facility Name MULTNOMAH COUNTY HEALTH DEPARTMENT MOBILE CLINIC
Street 1620 SE 190TH
City PORTLAND
State OR
ZIP 97233
Phone 971 288-9011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Mobile Laboratory
Lab Director MATTHEW R. HOFFMAN

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