38D0625576 CLIA NUMBER - TIERRA ROSE CARE CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0625576
  • Facility Name: TIERRA ROSE CARE CENTER LABORATORY
  • Facility Address: 4254 WEATHERS ST NE
    SALEM, OR
    ZIP 97301
  • Facility Phone: 503 585-4602
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHERYL L. BAZE
  • NPI Number: 1386631422
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0625576
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TIERRA ROSE CARE CENTER LABORATORY
Street 4254 WEATHERS ST NE
City SALEM
State OR
ZIP 97301
Phone 503 585-4602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHERYL L. BAZE

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