38D2139501 CLIA NUMBER - MADRONA RECOVERY

Laboratory Demographics

  • CLIA Code: 38D2139501
  • Facility Name: MADRONA RECOVERY
  • Facility Address: 7000 SW VARNS
    TIGARD, OR
    ZIP 97223
  • Facility Phone: 503 749-0200
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: MS. MARY K. HORTON ANP
  • NPI Number: 1992238091
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2139501
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name MADRONA RECOVERY
Street 7000 SW VARNS
City TIGARD
State OR
ZIP 97223
Phone 503 749-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director MS. MARY K. HORTON ANP

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