38D0879395 CLIA NUMBER - CRESWELL POST ACUTE

Laboratory Demographics

  • CLIA Code: 38D0879395
  • Facility Name: CRESWELL POST ACUTE
  • Facility Address: 735 S 2ND STREET
    CRESWELL, OR
    ZIP 97426
  • Facility Phone: 541 942-5528
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VICTOR A. WALLENKAMPF
  • NPI Number: 1851387179
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0879395
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESWELL POST ACUTE
Street 735 S 2ND STREET
City CRESWELL
State OR
ZIP 97426
Phone 541 942-5528
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 VICTOR A. WALLENKAMPF

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