38D0726477 CLIA NUMBER - CASCADE TERRACE POST ACUTE

Laboratory Demographics

  • CLIA Code: 38D0726477
  • Facility Name: CASCADE TERRACE POST ACUTE
  • Facility Address: 5601 SE 122ND AVENUE
    PORTLAND, OR
    ZIP 97236
  • Facility Phone: 541 428-2341
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAVID P. LARSON
  • NPI Number: 1942296447
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0726477
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASCADE TERRACE POST ACUTE
Street 5601 SE 122ND AVENUE
City PORTLAND
State OR
ZIP 97236
Phone 541 428-2341
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 DAVID P. LARSON

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