38D2052887 CLIA NUMBER - PENDLETON ALF, LLC DBA JUNIPER HOUSE

Laboratory Demographics

  • CLIA Code: 38D2052887
  • Facility Name: PENDLETON ALF, LLC DBA JUNIPER HOUSE
  • Facility Address: 301 SW 28TH DR
    PENDLETON, OR
    ZIP 97801
  • Facility Phone: 541 278-0666
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOHNNIE MCQUILKIN
  • NPI Number: 1770108052
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2052887
LAB Type Assisted Living Facility
Facility Name PENDLETON ALF, LLC DBA JUNIPER HOUSE
Street 301 SW 28TH DR
City PENDLETON
State OR
ZIP 97801
Phone 541 278-0666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Assisted Living Facility
Lab Director JOHNNIE MCQUILKIN

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