38D2018053 CLIA NUMBER - TIGARD OPERATIONS LLC DBA AVAMERE AT PARK PLACE

Laboratory Demographics

  • CLIA Code: 38D2018053
  • Facility Name: TIGARD OPERATIONS LLC DBA AVAMERE AT PARK PLACE
  • Facility Address: 8445 SW HEMLOCK STREET
    PORTLAND, OR
    ZIP 97223
  • Facility Phone: 503 245-8985
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARK BRUHNS
  • NPI Number: 1558986653
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2018053
LAB Type Assisted Living Facility
Facility Name TIGARD OPERATIONS LLC DBA AVAMERE AT PARK PLACE
Street 8445 SW HEMLOCK STREET
City PORTLAND
State OR
ZIP 97223
Phone 503 245-8985
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 MARK BRUHNS

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