38D2018061 CLIA NUMBER - BROOKDALE ROSEBURG

Laboratory Demographics

  • CLIA Code: 38D2018061
  • Facility Name: BROOKDALE ROSEBURG
  • Facility Address: 3400 NW EDENBOWER BLVD
    ROSEBURG, OR
    ZIP 97470
  • Facility Phone: 541 464-5600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SARAH CALVERT
  • NPI Number: 1124332655
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2018061
LAB Type Assisted Living Facility
Facility Name BROOKDALE ROSEBURG
Street 3400 NW EDENBOWER BLVD
City ROSEBURG
State OR
ZIP 97470
Phone 541 464-5600
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 SARAH CALVERT

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