38D0858042 CLIA NUMBER - LAURELHURST POST ACUTE & REHABILITATION

Laboratory Demographics

  • CLIA Code: 38D0858042
  • Facility Name: LAURELHURST POST ACUTE & REHABILITATION
  • Facility Address: 3060 SE STARK
    PORTLAND, OR
    ZIP 97214
  • Facility Phone: 503 535-4700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LEUMA MISILI
  • NPI Number: 1346288362
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0858042
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAURELHURST POST ACUTE & REHABILITATION
Street 3060 SE STARK
City PORTLAND
State OR
ZIP 97214
Phone 503 535-4700
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 LEUMA MISILI

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