38D0907174 CLIA NUMBER - ROSE VILLA HEALTH CARE CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0907174
  • Facility Name: ROSE VILLA HEALTH CARE CENTER LABORATORY
  • Facility Address: 13505 SE RIVER ROAD
    PORTLAND, OR
    ZIP 97222
  • Facility Phone: 503 652-2324
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERIN CORNELL
  • NPI Number: 1679819411
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0907174
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROSE VILLA HEALTH CARE CENTER LABORATORY
Street 13505 SE RIVER ROAD
City PORTLAND
State OR
ZIP 97222
Phone 503 652-2324
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 ERIN CORNELL

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