38D2047772 CLIA NUMBER - HILLSIDE PLACE

Laboratory Demographics

  • CLIA Code: 38D2047772
  • Facility Name: HILLSIDE PLACE
  • Facility Address: 1400 SE 19TH
    LINCOLN CITY, OR
    ZIP 97367
  • Facility Phone: 541 994-8028
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JILL WOOLSEY
  • NPI Number: 1841487139
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2047772
LAB Type Assisted Living Facility
Facility Name HILLSIDE PLACE
Street 1400 SE 19TH
City LINCOLN CITY
State OR
ZIP 97367
Phone 541 994-8028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Assisted Living Facility
Lab Director JILL WOOLSEY

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