38D0874482 CLIA NUMBER - SAMARITAN EVERGREEN HOSPICE

Laboratory Demographics

  • CLIA Code: 38D0874482
  • Facility Name: SAMARITAN EVERGREEN HOSPICE
  • Facility Address: 4600 EVERGREEN PLACE SE
    ALBANY, OR
    ZIP 97322
  • Facility Phone: 541 812-4662
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PAULA PENNINGTON
  • NPI Number: 1316302672
  • Taxonomy: 183500000X - Pharmacist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0874482
LAB Type Hospice
Facility Name SAMARITAN EVERGREEN HOSPICE
Street 4600 EVERGREEN PLACE SE
City ALBANY
State OR
ZIP 97322
Phone 541 812-4662
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 Hospice
Lab Director PAULA PENNINGTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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