38D0627411 CLIA NUMBER - ROSE HAVEN NURSING CENTER

Laboratory Demographics

  • CLIA Code: 38D0627411
  • Facility Name: ROSE HAVEN NURSING CENTER
  • Facility Address: 740 NW HILL PLACE
    ROSEBURG, OR
    ZIP 97471
  • Facility Phone: 541 672-1631
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STASHA BLANKENSHIP
  • NPI Number: 1932106069
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0627411
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROSE HAVEN NURSING CENTER
Street 740 NW HILL PLACE
City ROSEBURG
State OR
ZIP 97471
Phone 541 672-1631
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 STASHA BLANKENSHIP

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