38D2280001 CLIA NUMBER - BELOVED HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 38D2280001
  • Facility Name: BELOVED HOSPICE, INC
  • Facility Address: 25195 SW PARKWAY AVE #200
    WILSONVILLE, OR
    ZIP 97070
  • Facility Phone: 971 236-1199
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ADAM S. PERELGUT
  • NPI Number: 1932808078
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2280001
LAB Type Hospice
Facility Name BELOVED HOSPICE, INC
Street 25195 SW PARKWAY AVE #200
City WILSONVILLE
State OR
ZIP 97070
Phone 971 236-1199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Hospice
Lab Director ADAM S. PERELGUT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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