38D0622162 CLIA NUMBER - WOODSIDE POST ACUTE

Laboratory Demographics

  • CLIA Code: 38D0622162
  • Facility Name: WOODSIDE POST ACUTE
  • Facility Address: 301 RIDINGS AVE
    MOLALLA, OR
    ZIP 97038
  • Facility Phone: 503 829-5591
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEFFERSON LOA
  • NPI Number: 1154317402
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0622162
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WOODSIDE POST ACUTE
Street 301 RIDINGS AVE
City MOLALLA
State OR
ZIP 97038
Phone 503 829-5591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JEFFERSON LOA

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