38D2018425 CLIA NUMBER - BROOKDALE WILSONVILLE

Laboratory Demographics

  • CLIA Code: 38D2018425
  • Facility Name: BROOKDALE WILSONVILLE
  • Facility Address: 8170 SW VLAHOS DR ATTN EXECUTIVE DIRECTOR
    WILSONVILLE, OR
    ZIP 97070
  • Facility Phone: 503 682-0653
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHACLINE HOCKETT
  • NPI Number: 1578876009
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2018425
LAB Type Assisted Living Facility
Facility Name BROOKDALE WILSONVILLE
Street 8170 SW VLAHOS DR ATTN EXECUTIVE DIRECTOR
City WILSONVILLE
State OR
ZIP 97070
Phone 503 682-0653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Assisted Living Facility
Lab Director MICHACLINE HOCKETT

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