38D2203642 CLIA NUMBER - DEERFIELD VILLAGE COMMUNITY

Laboratory Demographics

  • CLIA Code: 38D2203642
  • Facility Name: DEERFIELD VILLAGE COMMUNITY
  • Facility Address: 5770 SOUTHEAST KELLOGG CREEK DRIVE
    MILWAUKIE, OR
    ZIP 97222
  • Facility Phone: 503 653-4064
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MILISSA WRIGHT
  • NPI Number: 1164683207
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2203642
LAB Type Assisted Living Facility
Facility Name DEERFIELD VILLAGE COMMUNITY
Street 5770 SOUTHEAST KELLOGG CREEK DRIVE
City MILWAUKIE
State OR
ZIP 97222
Phone 503 653-4064
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 MILISSA WRIGHT

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