38D2149997 CLIA NUMBER - CALLAHAN COURT MEMORY CARE COMMUNITY

Laboratory Demographics

  • CLIA Code: 38D2149997
  • Facility Name: CALLAHAN COURT MEMORY CARE COMMUNITY
  • Facility Address: 1770 NW VALLEY VIEW DRIVE
    ROSEBURG, OR
    ZIP 97471
  • Facility Phone: 541 673-3900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIM JORDAN
  • NPI Number: 1073139721
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2149997
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CALLAHAN COURT MEMORY CARE COMMUNITY
Street 1770 NW VALLEY VIEW DRIVE
City ROSEBURG
State OR
ZIP 97471
Phone 541 673-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KIM JORDAN

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