38D2196185 CLIA NUMBER - WILDFLOWER LODGE ASSISTED LIVING COMMUNITY

Laboratory Demographics

  • CLIA Code: 38D2196185
  • Facility Name: WILDFLOWER LODGE ASSISTED LIVING COMMUNITY
  • Facility Address: 508 16TH ST
    LA GRANDE, OR
    ZIP 97850
  • Facility Phone: 541 663-1200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EMILY TAGHON
  • NPI Number: 1043337843
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2196185
LAB Type Assisted Living Facility
Facility Name WILDFLOWER LODGE ASSISTED LIVING COMMUNITY
Street 508 16TH ST
City LA GRANDE
State OR
ZIP 97850
Phone 541 663-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Assisted Living Facility
Lab Director EMILY TAGHON

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