38D2305248 CLIA NUMBER - EVERGREEN URGENT CARE

Laboratory Demographics

  • CLIA Code: 38D2305248
  • Facility Name: EVERGREEN URGENT CARE
  • Facility Address: 2250 NW FLANDERS ST, STE 109
    PORTLAND, OR
    ZIP 97210
  • Facility Phone: 503 479-7713
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW J. MILLER
  • NPI Number: 1558134338
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2305248
LAB Type Physician Office
Facility Name EVERGREEN URGENT CARE
Street 2250 NW FLANDERS ST, STE 109
City PORTLAND
State OR
ZIP 97210
Phone 503 479-7713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Physician Office
Lab Director ANDREW J. MILLER

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