38D2194721 CLIA NUMBER - MEADOWBROOK PLACE OPERATIONS LLC DBA MEADOWBROOK PLACE

Laboratory Demographics

  • CLIA Code: 38D2194721
  • Facility Name: MEADOWBROOK PLACE OPERATIONS LLC DBA MEADOWBROOK PLACE
  • Facility Address: 4000 CEDAR STREET
    BAKER CITY, OR
    ZIP 97814
  • Facility Phone: 541 523-6333
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SUZANNE MILLER
  • NPI Number: 1699390997
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2194721
LAB Type Assisted Living Facility
Facility Name MEADOWBROOK PLACE OPERATIONS LLC DBA MEADOWBROOK PLACE
Street 4000 CEDAR STREET
City BAKER CITY
State OR
ZIP 97814
Phone 541 523-6333
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 SUZANNE MILLER

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