38D2091448 CLIA NUMBER - OREGON STATE HOSPITAL JUNCTION CITY

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Laboratory Demographics

CLIA Number: 38D2091448

Facility Name: OREGON STATE HOSPITAL JUNCTION CITY

Facility Address:
29398 RECOVERY WAY
JUNCTION CITY, OR
ZIP 97448
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Facility Phone Number: 503 945-0953

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1275922239

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	38D2091448
LAB Type	Hospital
Facility Name	OREGON STATE HOSPITAL JUNCTION CITY
Street	29398 RECOVERY WAY
City	JUNCTION CITY
State	OR
ZIP	97448
Phone	503 945-0953
CertificateType	4
CertificateEffectiveDate	2/12/2023
CertificateExpirationDate	2/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024