CLIA lab
CLIA 38D2198719: Coffee Creek Correctional Facility
Wilsonville, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2198719 belongs to Coffee Creek Correctional Facility in Wilsonville, OR.
Certificate of Waiver, effective November 3, 2024, expires November 2, 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
- November 3, 2024
- Certificate expiration
- November 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 3, 2020
- Facility type
- Prison
- Ownership (control type)
- Government, state
- 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
- 38D2198719
- Lab name
- Coffee Creek Correctional Facility
- Address
- 24499 SW Grahams Ferry Road, Wilsonville, OR 97070
- Phone
- (503) 378-5538
- Fax
- (503) 378-5597
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Wilsonville, OR
- Advanced Care Home HealthCertificate of Waiver, Home health agency38D2094329
- Beloved Hospice, IncCertificate of Waiver, Hospice38D2280001
- Brookdale WilsonvilleCertificate of Waiver, Assisted living facility38D2018425
- Fred Meyer Pharmacy #516Certificate of Waiver, Health fair38D2025203
- Heritage Hospice, LLC DBA Vistariver HospiceCertificate of Waiver, Hospice38D2216680
- Lenza Eye CenterCertificate of Waiver, Physician office38D2085879
- Marquis Care at WilsonvilleCertificate of Waiver, Skilled nursing or nursing facility38D1003573
- Marquis Wilsonville Assisted LivingCertificate of Waiver, Assisted living facility38D2198580
- Meadows Health and WellnessCertificate of Waiver, Physician office38D2188611
- Northwest Spine and Laser Surgery Center LLCCertificate of Waiver, Ambulatory surgery center38D2050384
Related
Questions
What is the CLIA number for Coffee Creek Correctional Facility in Wilsonville?
38D2198719, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coffee Creek Correctional Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2198719 expire?
The CMS file lists November 2, 2026 as the certificate expiration date; the certificate took effect November 3, 2024.