38D2107959 CLIA NUMBER - SENIOR CARE NW DBA FOREST GROVE GERIATRICS

Laboratory Demographics

  • CLIA Code: 38D2107959
  • Facility Name: SENIOR CARE NW DBA FOREST GROVE GERIATRICS
  • Facility Address: 2221 OAK ST
    FOREST GROVE, OR
    ZIP 97116
  • Facility Phone: 503 372-6277
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KARA M COOPER ANP
  • NPI Number: 1447685631
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2107959
LAB Type Mobile Laboratory
Facility Name SENIOR CARE NW DBA FOREST GROVE GERIATRICS
Street 2221 OAK ST
City FOREST GROVE
State OR
ZIP 97116
Phone 503 372-6277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Mobile Laboratory
Lab Director KARA M COOPER ANP

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