38D0880533 CLIA NUMBER - GATEWAY CARE AND RETIREMENT CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0880533
  • Facility Name: GATEWAY CARE AND RETIREMENT CENTER LABORATORY
  • Facility Address: 39 N E 102ND AVE
    PORTLAND, OR
    ZIP 97220
  • Facility Phone: 503 252-2461
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD ORTH DO
  • NPI Number: 1225445364
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0880533
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GATEWAY CARE AND RETIREMENT CENTER LABORATORY
Street 39 N E 102ND AVE
City PORTLAND
State OR
ZIP 97220
Phone 503 252-2461
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 RICHARD ORTH DO

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