38D2191349 CLIA NUMBER - GRACIOUSCARE HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 38D2191349
  • Facility Name: GRACIOUSCARE HOSPICE LLC
  • Facility Address: 8196 SW HALL BLVD, SUITE 101
    BEAVERTON, OR
    ZIP 97008
  • Facility Phone: 503 893-9866
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MOHAMED I. REFAAT
  • NPI Number: 1831709567
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 38D2191349
LAB Type Hospice
Facility Name GRACIOUSCARE HOSPICE LLC
Street 8196 SW HALL BLVD, SUITE 101
City BEAVERTON
State OR
ZIP 97008
Phone 503 893-9866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Hospice
Lab Director MOHAMED I. REFAAT

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