38D1007231 CLIA NUMBER - FIRST CALL HOME HEALTH AGENCY LLC

Laboratory Demographics

CLIA Number: 38D1007231

Facility Name: FIRST CALL HOME HEALTH AGENCY LLC

Facility Address:
2608 CASCADIA INDUSTRIAL ST SE
SALEM, OR
ZIP 97302
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Facility Phone Number: 503 371-4567

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1740260801

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 38D1007231
LAB Type Home Health Agency
Facility Name FIRST CALL HOME HEALTH AGENCY LLC
Street 2608 CASCADIA INDUSTRIAL ST SE
City SALEM
State OR
ZIP 97302
Phone 503 371-4567
CertificateType 4
CertificateEffectiveDate 12/11/2022
CertificateExpirationDate 12/10/2024
FacilityType Waiver

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