38D0874440 CLIA NUMBER - TERWILLIGER PLAZA INC

Laboratory Demographics

  • CLIA Code: 38D0874440
  • Facility Name: TERWILLIGER PLAZA INC
  • Facility Address: 2545 SW TERWILLIGER BLVD
    PORTLAND, OR
    ZIP 97201
  • Facility Phone: 503 299-4243
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER M. LUCAS
  • NPI Number: 1891165833
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 38D0874440
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TERWILLIGER PLAZA INC
Street 2545 SW TERWILLIGER BLVD
City PORTLAND
State OR
ZIP 97201
Phone 503 299-4243
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 HEATHER M. LUCAS

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