38D2194713 CLIA NUMBER - SUTHERLIN ALF, LLC DBA APPLEGATE PLACE

Laboratory Demographics

  • CLIA Code: 38D2194713
  • Facility Name: SUTHERLIN ALF, LLC DBA APPLEGATE PLACE
  • Facility Address: 1465 E CENTRAL AVE
    SUTHERLIN, OR
    ZIP 97479
  • Facility Phone: (541) 459-6300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: REGAN TUCKER
  • NPI Number: 1104441583
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2194713
LAB Type Assisted Living Facility
Facility Name SUTHERLIN ALF, LLC DBA APPLEGATE PLACE
Street 1465 E CENTRAL AVE
City SUTHERLIN
State OR
ZIP 97479
Phone 5414596300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Assisted Living Facility
Lab Director REGAN TUCKER

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This page was last updated on: 5/18/2026