38D2258616 CLIA NUMBER - SAPPHIRE AT LIBERTY POINTE

Laboratory Demographics

  • CLIA Code: 38D2258616
  • Facility Name: SAPPHIRE AT LIBERTY POINTE
  • Facility Address: 1241 NE 6TH ST
    GRESHAM, OR
    ZIP 97030
  • Facility Phone: 503 512-5550
  • Facility Type: Other - RESIDENTIAL CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: NITA VELLODY
  • NPI Number: 1033740899
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2258616
LAB Type Other - RESIDENTIAL CARE FACILITY
Facility Name SAPPHIRE AT LIBERTY POINTE
Street 1241 NE 6TH ST
City GRESHAM
State OR
ZIP 97030
Phone 503 512-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Other - RESIDENTIAL CARE FACILITY
Lab Director NITA VELLODY

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