38D0622324 CLIA NUMBER - AVALON CARE CENTER - SCAPPOOSE

Laboratory Demographics

  • CLIA Code: 38D0622324
  • Facility Name: AVALON CARE CENTER - SCAPPOOSE
  • Facility Address: 33910 E COLUMBIA AVENUE
    SCAPPOOSE, OR
    ZIP 97056
  • Facility Phone: 801 596-8844
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAILE E. COBB
  • NPI Number: 1760717078
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0622324
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVALON CARE CENTER - SCAPPOOSE
Street 33910 E COLUMBIA AVENUE
City SCAPPOOSE
State OR
ZIP 97056
Phone 801 596-8844
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 MAILE E. COBB

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