38D0982110 CLIA NUMBER - MARIE ROSE CENTER

Laboratory Demographics

CLIA Number: 38D0982110

Facility Name: MARIE ROSE CENTER

Facility Address:
17360 HOLY NAMES DRIVE
LAKE OSWEGO, OR
ZIP 97034
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Facility Phone Number: 503 675-2475

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1205827037

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	38D0982110
LAB Type	Assisted Living Facility
Facility Name	MARIE ROSE CENTER
Street	17360 HOLY NAMES DRIVE
City	LAKE OSWEGO
State	OR
ZIP	97034
Phone	503 675-2475
CertificateType	4
CertificateEffectiveDate	1/17/2023
CertificateExpirationDate	1/16/2025
FacilityType	Waiver

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