38D2339148 CLIA NUMBER - EVERGREEN AMBULANCE

Laboratory Demographics

  • CLIA Code: 38D2339148
  • Facility Name: EVERGREEN AMBULANCE
  • Facility Address: 2330 SE CLATSOP ST
    PORTLAND, OR
    ZIP 97220
  • Facility Phone: (503) 523-4146
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: NICHOLAS S. HAYES
  • NPI Number: 1942146188
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D2339148
LAB Type Ambulance
Facility Name EVERGREEN AMBULANCE
Street 2330 SE CLATSOP ST
City PORTLAND
State OR
ZIP 97220
Phone 5035234146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2026
Certificate Expiration Date 2/23/2028
Facility Type Ambulance
Lab Director NICHOLAS S. HAYES

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This page was last updated on: 5/18/2026