38D2018069 CLIA NUMBER - HERON POINTE SENIOR LIVING

Laboratory Demographics

CLIA Number: 38D2018069

Facility Name: HERON POINTE SENIOR LIVING

Facility Address:
504 GWINN ST E
MONMOUTH, OR
ZIP 97361
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Facility Phone Number: 503 838-6850

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1407499155

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name Field Value
CLIA Number 38D2018069
LAB Type Assisted Living Facility
Facility Name HERON POINTE SENIOR LIVING
Street 504 GWINN ST E
City MONMOUTH
State OR
ZIP 97361
Phone 503 838-6850
CertificateType 4
CertificateEffectiveDate 12/22/2022
CertificateExpirationDate 12/21/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024