38D2018050 CLIA NUMBER - BROOKDALE RIVER VALLEY TUALATIN

Laboratory Demographics

  • CLIA Code: 38D2018050
  • Facility Name: BROOKDALE RIVER VALLEY TUALATIN
  • Facility Address: 19200 SW 65TH AVENUE
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: 503 692-3192
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANIL H. GORANIA
  • NPI Number: 1003129537
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2018050
LAB Type Assisted Living Facility
Facility Name BROOKDALE RIVER VALLEY TUALATIN
Street 19200 SW 65TH AVENUE
City TUALATIN
State OR
ZIP 97062
Phone 503 692-3192
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 ANIL H. GORANIA

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