38D2269322 CLIA NUMBER - RIVERSIDE LIVING INC

Laboratory Demographics

  • CLIA Code: 38D2269322
  • Facility Name: RIVERSIDE LIVING INC
  • Facility Address: 23500 NE HALSEY ST
    WOOD VILLAGE, OR
    ZIP 97060
  • Facility Phone: 503 328-9246
  • Facility Type: Other - RESIDENTIAL CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: DENISE VALDOVINOS
  • NPI Number: 1154948255
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2269322
LAB Type Other - RESIDENTIAL CARE FACILITY
Facility Name RIVERSIDE LIVING INC
Street 23500 NE HALSEY ST
City WOOD VILLAGE
State OR
ZIP 97060
Phone 503 328-9246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Other - RESIDENTIAL CARE FACILITY
Lab Director DENISE VALDOVINOS

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