CLIA lab
CLIA 38D1045955: Polk County Jail
Dallas, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D1045955 belongs to Polk County Jail in Dallas, OR.
Certificate of Waiver, effective September 27, 2025, expires September 26, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 27, 2025
- Certificate expiration
- September 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 2005
- Facility type
- Prison
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 38D1045955
- Lab name
- Polk County Jail
- Address
- 884 SE Jefferson St, Dallas, OR 97338
- Phone
- (503) 623-9254
- Fax
- (503) 831-1766
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Dallas, OR
- City of Dallas AmbulanceCertificate of Waiver, Ambulance38D0695225
- Compass Medical Clinic LLCCertificate of Waiver, Community clinic38D1075230
- Dallas Family CareCertificate of Waiver, Physician office38D2232173
- Dallas Retirement VillageCertificate of Waiver, Skilled nursing or nursing facility38D0687093
- Dallas Retirement VillageCertificate of Waiver, Assisted living facility38D2246519
- Emurgent Care, LLCCertificate of Waiver, Other38D2063124
- Icco DBA Best MedCertificate of Waiver, Other38D2212224
- Jefferson Lodge Memory CareCertificate of Waiver, Assisted living facility38D2096745
- Polk County Public HealthCertificate for Provider-Performed Microscopy Procedures, Community clinic38D0667972
- Safeway Pharmacy #4404Certificate of Waiver, Pharmacy38D2083548
Related
Questions
What is the CLIA number for Polk County Jail in Dallas?
38D1045955, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Polk County Jail hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D1045955 expire?
The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.