38D2197546 CLIA NUMBER - RSL GRESHAM LLC

Laboratory Demographics

  • CLIA Code: 38D2197546
  • Facility Name: RSL GRESHAM LLC
  • Facility Address: 1655 NE 18TH STREET
    GRESHAM, OR
    ZIP 97030
  • Facility Phone: 503 595-2810
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JODI L. GUFFEE
  • NPI Number: 1760008684
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2197546
LAB Type Assisted Living Facility
Facility Name RSL GRESHAM LLC
Street 1655 NE 18TH STREET
City GRESHAM
State OR
ZIP 97030
Phone 503 595-2810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Assisted Living Facility
Lab Director JODI L. GUFFEE

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