38D2194724 CLIA NUMBER - LA PINE ALF, LLC DBA PRAIRIE HOUSE

Laboratory Demographics

  • CLIA Code: 38D2194724
  • Facility Name: LA PINE ALF, LLC DBA PRAIRIE HOUSE
  • Facility Address: 51485 MORSON ST
    LA PINE, OR
    ZIP 97739
  • Facility Phone: 541 536-8559
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LOVE PEARSON
  • NPI Number: 1487279782
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2194724
LAB Type Assisted Living Facility
Facility Name LA PINE ALF, LLC DBA PRAIRIE HOUSE
Street 51485 MORSON ST
City LA PINE
State OR
ZIP 97739
Phone 541 536-8559
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 LOVE PEARSON

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