38D2203313 CLIA NUMBER - WEST SALEM MEMORY CARE, LLC

Laboratory Demographics

  • CLIA Code: 38D2203313
  • Facility Name: WEST SALEM MEMORY CARE, LLC
  • Facility Address: 2030 WALLACE ROAD NW
    SALEM, OR
    ZIP 97304
  • Facility Phone: 503 912-4551
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER GOLDEN
  • NPI Number: 1336765759
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 38D2203313
LAB Type Assisted Living Facility
Facility Name WEST SALEM MEMORY CARE, LLC
Street 2030 WALLACE ROAD NW
City SALEM
State OR
ZIP 97304
Phone 503 912-4551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Assisted Living Facility
Lab Director HEATHER GOLDEN

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