38D0937509 CLIA NUMBER - AVAMERE TRANSITIONAL CARE AT SUNNYSIDE

Laboratory Demographics

  • CLIA Code: 38D0937509
  • Facility Name: AVAMERE TRANSITIONAL CARE AT SUNNYSIDE
  • Facility Address: 4515 SUNNYSIDE ROAD SE
    SALEM, OR
    ZIP 97302
  • Facility Phone: 503 370-8284
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRENT HOOVER
  • NPI Number: 1699198812
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0937509
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVAMERE TRANSITIONAL CARE AT SUNNYSIDE
Street 4515 SUNNYSIDE ROAD SE
City SALEM
State OR
ZIP 97302
Phone 503 370-8284
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 BRENT HOOVER

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