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38D0922742 CLIA NUMBER - AMEDISYS OREGON LLC DBA AMEDISYS HOME HEALTH CARE

Laboratory Demographics

CLIA Number: 38D0922742

Facility Name: AMEDISYS OREGON LLC DBA AMEDISYS HOME HEALTH CARE

Facility Address:
3220 STATE STREET SUITE 100
SALEM, OR
ZIP 97301
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Facility Phone Number: 503 364-9850

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1972835064

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 38D0922742
LAB Type Home Health Agency
Facility Name AMEDISYS OREGON LLC DBA AMEDISYS HOME HEALTH CARE
Street 3220 STATE STREET SUITE 100
City SALEM
State OR
ZIP 97301
Phone 503 364-9850
CertificateType 4
CertificateEffectiveDate 9/27/2022
CertificateExpirationDate 9/26/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024