38D0981392 CLIA NUMBER - HAZELDEN BETTY FORD FOUNDATION NEWBERG

Laboratory Demographics

  • CLIA Code: 38D0981392
  • Facility Name: HAZELDEN BETTY FORD FOUNDATION NEWBERG
  • Facility Address: 1901 N ESTHER ST
    NEWBERG, OR
    ZIP 97132
  • Facility Phone: 651 213-4997
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. ALTA DEROO
  • NPI Number: 1144387879
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0981392
LAB Type Other
Facility Name HAZELDEN BETTY FORD FOUNDATION NEWBERG
Street 1901 N ESTHER ST
City NEWBERG
State OR
ZIP 97132
Phone 651 213-4997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Other
Lab Director DR. ALTA DEROO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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