38D2218116 CLIA NUMBER - FOREST GROVE SENIOR LIVING CENTER

Laboratory Demographics

CLIA Number: 38D2218116

Facility Name: FOREST GROVE SENIOR LIVING CENTER

Facility Address:
2112 OAK STREET
FOREST GROVE, OR
ZIP 97116
Get Directions

Facility Phone Number: 503 359-1002

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1073982286

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	38D2218116
LAB Type	Assisted Living Facility
Facility Name	FOREST GROVE SENIOR LIVING CENTER
Street	2112 OAK STREET
City	FOREST GROVE
State	OR
ZIP	97116
Phone	503 359-1002
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024