38D2197382 CLIA NUMBER - IRIS BY BONAVENTURE, THE

Laboratory Demographics

  • CLIA Code: 38D2197382
  • Facility Name: IRIS BY BONAVENTURE, THE
  • Facility Address: 1615 BRUSH COLLEGE RD NW
    SALEM, OR
    ZIP 97304
  • Facility Phone: 503 566-5715
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HAYLEY JACOBS
  • NPI Number: 1396958658
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 38D2197382
LAB Type Assisted Living Facility
Facility Name IRIS BY BONAVENTURE, THE
Street 1615 BRUSH COLLEGE RD NW
City SALEM
State OR
ZIP 97304
Phone 503 566-5715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Assisted Living Facility
Lab Director HAYLEY JACOBS

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