38D2018074 CLIA NUMBER - BROOKDALE REDMOND

Laboratory Demographics

  • CLIA Code: 38D2018074
  • Facility Name: BROOKDALE REDMOND
  • Facility Address: 1942 SW CANYON DRIVE
    REDMOND, OR
    ZIP 97756
  • Facility Phone: 541 316-4400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CLINTON GARNER
  • NPI Number: 1972817179
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2018074
LAB Type Assisted Living Facility
Facility Name BROOKDALE REDMOND
Street 1942 SW CANYON DRIVE
City REDMOND
State OR
ZIP 97756
Phone 541 316-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Assisted Living Facility
Lab Director CLINTON GARNER

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