38D2271613 CLIA NUMBER - VIRTUE AT THE POINTE RECOVERY CENTER - OUTPATIENT

Laboratory Demographics

CLIA Number: 38D2271613

Facility Name: VIRTUE AT THE POINTE RECOVERY CENTER - OUTPATIENT

Facility Address:
6902 SE LAKE RD, STE #302
MILWAUKIE, OR
ZIP 97267
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Facility Phone Number: 860 706-9824

Facility Type: Other - OUTPATIENT BEHAVIORAL HEA

Certificate Type: Waiver

NPI Number: 1134842644

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	38D2271613
LAB Type	Other - OUTPATIENT BEHAVIORAL HEA
Facility Name	VIRTUE AT THE POINTE RECOVERY CENTER - OUTPATIENT
Street	6902 SE LAKE RD, STE #302
City	MILWAUKIE
State	OR
ZIP	97267
Phone	860 706-9824
CertificateType	4
CertificateEffectiveDate	11/4/2022
CertificateExpirationDate	11/3/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024