38D2203639 CLIA NUMBER - BRIDGEWOOD RIVERS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 38D2203639
  • Facility Name: BRIDGEWOOD RIVERS ASSISTED LIVING
  • Facility Address: 1901 NW HUGHWOOD DRIVE
    ROSEBURG, OR
    ZIP 97471
  • Facility Phone: 541 440-1914
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TERESA COURTNEY
  • NPI Number: 1023279155
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2203639
LAB Type Assisted Living Facility
Facility Name BRIDGEWOOD RIVERS ASSISTED LIVING
Street 1901 NW HUGHWOOD DRIVE
City ROSEBURG
State OR
ZIP 97471
Phone 541 440-1914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Assisted Living Facility
Lab Director TERESA COURTNEY

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