38D2216680 CLIA NUMBER - HERITAGE HOSPICE, LLC DBA VISTARIVER HOSPICE

Laboratory Demographics

  • CLIA Code: 38D2216680
  • Facility Name: HERITAGE HOSPICE, LLC DBA VISTARIVER HOSPICE
  • Facility Address: 9126 SW RIDDER RD
    WILSONVILLE, OR
    ZIP 97070
  • Facility Phone: 503 542-7090
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JIN CHO
  • NPI Number: 1487257424
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 38D2216680
LAB Type Hospice
Facility Name HERITAGE HOSPICE, LLC DBA VISTARIVER HOSPICE
Street 9126 SW RIDDER RD
City WILSONVILLE
State OR
ZIP 97070
Phone 503 542-7090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Hospice
Lab Director JIN CHO

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