38D2018054 CLIA NUMBER - BROOKDALE OSWEGO SPRINGS

Laboratory Demographics

  • CLIA Code: 38D2018054
  • Facility Name: BROOKDALE OSWEGO SPRINGS
  • Facility Address: 11552 SW LESSER RD
    PORTLAND, OR
    ZIP 97219
  • Facility Phone: 503 542-4747
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RACHAEL LARA
  • NPI Number: 1316251846
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2018054
LAB Type Assisted Living Facility
Facility Name BROOKDALE OSWEGO SPRINGS
Street 11552 SW LESSER RD
City PORTLAND
State OR
ZIP 97219
Phone 503 542-4747
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 RACHAEL LARA

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