38D2269025 CLIA NUMBER - PARKSIDE LIVING INC

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CLIA Record

Field Name Field Value
CLIA Number 38D2269025
LAB Type Other - RESIDENTIAL CARE FACILITY
Facility Name PARKSIDE LIVING INC
Street 1525 SW SHIRLEY ANN DRIVE
City MCMINNVILLE
State OR
ZIP 97128
Phone 503 472-9603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Other - RESIDENTIAL CARE FACILITY
Lab Director ALYSSA PETTIBONE

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