38D2209421 CLIA NUMBER - SAPPHIRE AT CEDAR CROSSINGS LLC

Laboratory Demographics

  • CLIA Code: 38D2209421
  • Facility Name: SAPPHIRE AT CEDAR CROSSINGS LLC
  • Facility Address: 6003 SE 136TH AVENUE
    PORTLAND, OR
    ZIP 97236
  • Facility Phone: 971 978-1568
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NITA VELLODY
  • NPI Number: 1962025809
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2209421
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SAPPHIRE AT CEDAR CROSSINGS LLC
Street 6003 SE 136TH AVENUE
City PORTLAND
State OR
ZIP 97236
Phone 971 978-1568
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NITA VELLODY

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