38D2194955 CLIA NUMBER - AVAMERE AT ST HELENS

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Laboratory Demographics

CLIA Number: 38D2194955

Facility Name: AVAMERE AT ST HELENS

Facility Address:
2400 GABLE ROAD
ST HELENS, OR
ZIP 97051
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Facility Phone Number: 503 366-8070

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1417974239

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	38D2194955
LAB Type	Assisted Living Facility
Facility Name	AVAMERE AT ST HELENS
Street	2400 GABLE ROAD
City	ST HELENS
State	OR
ZIP	97051
Phone	503 366-8070
CertificateType	4
CertificateEffectiveDate	10/5/2022
CertificateExpirationDate	10/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024