38D2117903 CLIA NUMBER - BRIGHTON HOSPICE

Laboratory Demographics

CLIA Number: 38D2117903

Facility Name: BRIGHTON HOSPICE

Facility Address:
8050 SW WARM SPRINGS STREET, STE 205
TUALATIN, OR
ZIP 97062
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Facility Phone Number: 503 430-7699

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1942753637

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	38D2117903
LAB Type	Practitioner Other
Facility Name	BRIGHTON HOSPICE
Street	8050 SW WARM SPRINGS STREET, STE 205
City	TUALATIN
State	OR
ZIP	97062
Phone	503 430-7699
CertificateType	4
CertificateEffectiveDate	8/25/2022
CertificateExpirationDate	8/24/2024
FacilityType	Waiver

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