38D2047776 CLIA NUMBER - KLAMATH FALLS AL LLC DBA TRUSTWELL LIVING AT ROGUE RIVER

Laboratory Demographics

  • CLIA Code: 38D2047776
  • Facility Name: KLAMATH FALLS AL LLC DBA TRUSTWELL LIVING AT ROGUE RIVER
  • Facility Address: 2437 KANE ST
    KLAMATH FALLS, OR
    ZIP 97603
  • Facility Phone: 541 205-4718
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CASEY STEPHENS
  • NPI Number: 1538223482
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 38D2047776
LAB Type Assisted Living Facility
Facility Name KLAMATH FALLS AL LLC DBA TRUSTWELL LIVING AT ROGUE RIVER
Street 2437 KANE ST
City KLAMATH FALLS
State OR
ZIP 97603
Phone 541 205-4718
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 CASEY STEPHENS

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