38D2259328 CLIA NUMBER - PRIMROSE HOSPICE INC

Laboratory Demographics

CLIA Number: 38D2259328

Facility Name: PRIMROSE HOSPICE INC

Facility Address:
4850 SW SCHOLLS FERRY RD, STE 304
PORTLAND, OR
ZIP 97225
Get Directions

Facility Phone Number: 408 482-5735

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1255067807

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	38D2259328
LAB Type	Hospice
Facility Name	PRIMROSE HOSPICE INC
Street	4850 SW SCHOLLS FERRY RD, STE 304
City	PORTLAND
State	OR
ZIP	97225
Phone	408 482-5735
CertificateType	4
CertificateEffectiveDate	5/4/2022
CertificateExpirationDate	5/3/2024
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