38D2329622 CLIA NUMBER - CLACKAMAS COUNTY PUBLIC HEALTH - IDCP PROGRAM

Laboratory Demographics

  • CLIA Code: 38D2329622
  • Facility Name: CLACKAMAS COUNTY PUBLIC HEALTH - IDCP PROGRAM
  • Facility Address: 2051 KAEN ROAD, SUITE 367
    OREGON CITY, OR
    ZIP 97045
  • Facility Phone: 503 742-5300
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SARAH D. PRESENT
  • NPI Number: 1801142781
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2329622
LAB Type Mobile Laboratory
Facility Name CLACKAMAS COUNTY PUBLIC HEALTH - IDCP PROGRAM
Street 2051 KAEN ROAD, SUITE 367
City OREGON CITY
State OR
ZIP 97045
Phone 503 742-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Mobile Laboratory
Lab Director SARAH D. PRESENT

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