38D2166474 CLIA NUMBER - HAWTHORNE GARDENS SENIOR LIVING COMMUNITY

Laboratory Demographics

  • CLIA Code: 38D2166474
  • Facility Name: HAWTHORNE GARDENS SENIOR LIVING COMMUNITY
  • Facility Address: 2828 SE TAYLOR ST
    PORTLAND, OR
    ZIP 97214
  • Facility Phone: 971 222-0396
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BRODEY DEBORDE
  • NPI Number: 1215354741
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2166474
LAB Type Assisted Living Facility
Facility Name HAWTHORNE GARDENS SENIOR LIVING COMMUNITY
Street 2828 SE TAYLOR ST
City PORTLAND
State OR
ZIP 97214
Phone 971 222-0396
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Assisted Living Facility
Lab Director BRODEY DEBORDE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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