38D2315358 CLIA NUMBER - HIGH ANGLE RAPID EXTRICATION MODULE SUPPORT TEAM LLC

Laboratory Demographics

  • CLIA Code: 38D2315358
  • Facility Name: HIGH ANGLE RAPID EXTRICATION MODULE SUPPORT TEAM LLC
  • Facility Address: 11633 SW 39TH AVE
    PORTLAND, OR
    ZIP 97219
  • Facility Phone: 503 730-8392
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROBERT B. ABERLE
  • NPI Number: 1346124856
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D2315358
LAB Type Ambulance
Facility Name HIGH ANGLE RAPID EXTRICATION MODULE SUPPORT TEAM LLC
Street 11633 SW 39TH AVE
City PORTLAND
State OR
ZIP 97219
Phone 503 730-8392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Ambulance
Lab Director ROBERT B. ABERLE

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