38D1093746 CLIA NUMBER - ADVENTIST HEALTH HOME CARE SERVICES

Laboratory Demographics

  • CLIA Code: 38D1093746
  • Facility Name: ADVENTIST HEALTH HOME CARE SERVICES
  • Facility Address: 980 THIRD ST, STE 400
    TILLAMOOK, OR
    ZIP 97141
  • Facility Phone: 503 815-2486
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JACOB SUMMERS
  • NPI Number: 1447658596
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 38D1093746
LAB Type Hospice
Facility Name ADVENTIST HEALTH HOME CARE SERVICES
Street 980 THIRD ST, STE 400
City TILLAMOOK
State OR
ZIP 97141
Phone 503 815-2486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Hospice
Lab Director JACOB SUMMERS

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