38D2318133 CLIA NUMBER - MULTNOMAH COUNTY COORDINATED CARE PATHWAYS CENTER

Laboratory Demographics

  • CLIA Code: 38D2318133
  • Facility Name: MULTNOMAH COUNTY COORDINATED CARE PATHWAYS CENTER
  • Facility Address: 900 SE SANDY BOULEVARD
    PORTLAND, OR
    ZIP 97214
  • Facility Phone: 503 988-4055
  • Facility Type: Other - SOBERING FACILITY
  • Facility Type: Waiver
  • Lab Director: HEATHER MIRASOL
  • NPI Number: 1104413533
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 38D2318133
LAB Type Other - SOBERING FACILITY
Facility Name MULTNOMAH COUNTY COORDINATED CARE PATHWAYS CENTER
Street 900 SE SANDY BOULEVARD
City PORTLAND
State OR
ZIP 97214
Phone 503 988-4055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Other - SOBERING FACILITY
Lab Director HEATHER MIRASOL

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