38D0674394 CLIA NUMBER - AVAMERE COURT AT KEIZER

Laboratory Demographics

  • CLIA Code: 38D0674394
  • Facility Name: AVAMERE COURT AT KEIZER
  • Facility Address: 5210 RIVER RD N
    KEIZER, OR
    ZIP 97303
  • Facility Phone: 503 393-3624
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TRACY GASPERINI
  • NPI Number: 1093732901
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0674394
LAB Type Assisted Living Facility
Facility Name AVAMERE COURT AT KEIZER
Street 5210 RIVER RD N
City KEIZER
State OR
ZIP 97303
Phone 503 393-3624
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 Assisted Living Facility
Lab Director TRACY GASPERINI

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