38D2291362 CLIA NUMBER - TREE HOUSE NW, INC

Laboratory Demographics

  • CLIA Code: 38D2291362
  • Facility Name: TREE HOUSE NW, INC
  • Facility Address: 4713 N ALBINA AVE, SUITE 301
    PORTLAND, OR
    ZIP 97217
  • Facility Phone: 503 707-9771
  • Facility Type: Other - OUTPATIENT ADDICTION TREA
  • Facility Type: Waiver
  • Lab Director: MERLE D. WILLIAMSON
  • NPI Number: 1477002228
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2291362
LAB Type Other - OUTPATIENT ADDICTION TREA
Facility Name TREE HOUSE NW, INC
Street 4713 N ALBINA AVE, SUITE 301
City PORTLAND
State OR
ZIP 97217
Phone 503 707-9771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Other - OUTPATIENT ADDICTION TREA
Lab Director MERLE D. WILLIAMSON

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