38D2196017 CLIA NUMBER - AVAMERE AT BETHANY

Laboratory Demographics

  • CLIA Code: 38D2196017
  • Facility Name: AVAMERE AT BETHANY
  • Facility Address: 16360 NW AVAMERE CT
    PORTLAND, OR
    ZIP 97229
  • Facility Phone: 503 690-2402
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALEX W. MCVAY
  • NPI Number: 1790702629
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2196017
LAB Type Assisted Living Facility
Facility Name AVAMERE AT BETHANY
Street 16360 NW AVAMERE CT
City PORTLAND
State OR
ZIP 97229
Phone 503 690-2402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Assisted Living Facility
Lab Director ALEX W. MCVAY

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