38D2018048 CLIA NUMBER - BROOKDALE ROSE VALLEY SCAPPOOSE

Laboratory Demographics

  • CLIA Code: 38D2018048
  • Facility Name: BROOKDALE ROSE VALLEY SCAPPOOSE
  • Facility Address: 33800 SE FREDERICK STREET
    SCAPPOOSE, OR
    ZIP 97056
  • Facility Phone: 971 812-0180
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEANNA DAVIS
  • NPI Number: 1780998294
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2018048
LAB Type Assisted Living Facility
Facility Name BROOKDALE ROSE VALLEY SCAPPOOSE
Street 33800 SE FREDERICK STREET
City SCAPPOOSE
State OR
ZIP 97056
Phone 971 812-0180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Assisted Living Facility
Lab Director DEANNA DAVIS

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