38D2018052 CLIA NUMBER - BROOKDALE RIVER ROAD

Laboratory Demographics

  • CLIA Code: 38D2018052
  • Facility Name: BROOKDALE RIVER ROAD
  • Facility Address: 592 BEVER DRIVE NE
    SALEM, OR
    ZIP 97303
  • Facility Phone: 503 463-4060
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GINNY M. ESSMAN
  • NPI Number: 1184937609
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2018052
LAB Type Assisted Living Facility
Facility Name BROOKDALE RIVER ROAD
Street 592 BEVER DRIVE NE
City SALEM
State OR
ZIP 97303
Phone 503 463-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Assisted Living Facility
Lab Director GINNY M. ESSMAN

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