CLIA lab
CLIA 38D1091350: Southwestern Polk County Rfpd
Dallas, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D1091350 belongs to Southwestern Polk County Rfpd in Dallas, OR.
Certificate of Waiver, effective October 30, 2024, expires October 29, 2026.
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
- October 30, 2024
- Certificate expiration
- October 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 2008
- Facility type
- Ambulance
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 38D1091350
- Lab name
- Southwestern Polk County Rfpd
- Address
- 15455 Salt Creek Road, Dallas, OR 97338
- Phone
- (503) 925-4275
- Fax
- (503) 623-6186
Annual test volume the lab reported
- Waived tests
- 48
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 JailCertificate of Waiver, Prison38D1045955
- Polk County Public HealthCertificate for Provider-Performed Microscopy Procedures, Community clinic38D0667972
Related
Questions
What is the CLIA number for Southwestern Polk County Rfpd in Dallas?
38D1091350, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southwestern Polk County Rfpd hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D1091350 expire?
The CMS file lists October 29, 2026 as the certificate expiration date; the certificate took effect October 30, 2024.