38D2194719 CLIA NUMBER - SUN TERRACE HERMISTON

Laboratory Demographics

  • CLIA Code: 38D2194719
  • Facility Name: SUN TERRACE HERMISTON
  • Facility Address: 1550 NW 11TH STREET
    HERMISTON, OR
    ZIP 97838
  • Facility Phone: 541 564-2595
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER R. CICERO
  • NPI Number: 1972633261
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2194719
LAB Type Assisted Living Facility
Facility Name SUN TERRACE HERMISTON
Street 1550 NW 11TH STREET
City HERMISTON
State OR
ZIP 97838
Phone 541 564-2595
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 JENNIFER R. CICERO

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