38D0943047 CLIA NUMBER - LEGACY HOSPICE SERVICES

Laboratory Demographics

  • CLIA Code: 38D0943047
  • Facility Name: LEGACY HOSPICE SERVICES
  • Facility Address: 6475 SW BORLAND ROAD, SUITE J
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: (503) 220-1000
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RUTH MEDAK
  • NPI Number: 1861413452
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 38D0943047
LAB Type Hospice
Facility Name LEGACY HOSPICE SERVICES
Street 6475 SW BORLAND ROAD, SUITE J
City TUALATIN
State OR
ZIP 97062
Phone 5032201000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2026
Certificate Expiration Date 12/31/2027
Facility Type Hospice
Lab Director RUTH MEDAK

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This page was last updated on: 6/29/2026