38D2194428 CLIA NUMBER - TP HARVEST HOMES OPERATIONS, LLC

Laboratory Demographics

  • CLIA Code: 38D2194428
  • Facility Name: TP HARVEST HOMES OPERATIONS, LLC
  • Facility Address: 6921 N ROBERTS AVE
    PORTLAND, OR
    ZIP 97203
  • Facility Phone: 603 219-3182
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ASHELEE R. FAIRBANK
  • NPI Number: 1366068959
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2194428
LAB Type Assisted Living Facility
Facility Name TP HARVEST HOMES OPERATIONS, LLC
Street 6921 N ROBERTS AVE
City PORTLAND
State OR
ZIP 97203
Phone 603 219-3182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Assisted Living Facility
Lab Director ASHELEE R. FAIRBANK

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