38D2269809 CLIA NUMBER - MCKENZIE LIVING

Laboratory Demographics

  • CLIA Code: 38D2269809
  • Facility Name: MCKENZIE LIVING
  • Facility Address: 6452 A STREET
    SPRINGFIELD, OR
    ZIP 97477
  • Facility Phone: 541 302-1283
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RYAN C. HUDMAN
  • NPI Number: 1417626177
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2269809
LAB Type Assisted Living Facility
Facility Name MCKENZIE LIVING
Street 6452 A STREET
City SPRINGFIELD
State OR
ZIP 97477
Phone 541 302-1283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Assisted Living Facility
Lab Director RYAN C. HUDMAN

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