38D2197528 CLIA NUMBER - AVAMERE AT SEASIDE

Laboratory Demographics

  • CLIA Code: 38D2197528
  • Facility Name: AVAMERE AT SEASIDE
  • Facility Address: 2500 S ROOSEVELT DRIVE
    SEASIDE, OR
    ZIP 97138
  • Facility Phone: 503 738-0900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LARRY GOOLDY
  • NPI Number: 1578961413
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2197528
LAB Type Assisted Living Facility
Facility Name AVAMERE AT SEASIDE
Street 2500 S ROOSEVELT DRIVE
City SEASIDE
State OR
ZIP 97138
Phone 503 738-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Assisted Living Facility
Lab Director LARRY GOOLDY

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