38D2150009 CLIA NUMBER - CALLAHAN VILLAGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 38D2150009
  • Facility Name: CALLAHAN VILLAGE ASSISTED LIVING
  • Facility Address: 1801 NW GARDEN VALLEY BLVD
    ROSEBURG, OR
    ZIP 97470
  • Facility Phone: 541 673-4500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAMMY HUNTLEY
  • NPI Number: 1306462072
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2150009
LAB Type Assisted Living Facility
Facility Name CALLAHAN VILLAGE ASSISTED LIVING
Street 1801 NW GARDEN VALLEY BLVD
City ROSEBURG
State OR
ZIP 97470
Phone 541 673-4500
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 Assisted Living Facility
Lab Director TAMMY HUNTLEY

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