CLIA lab
CLIA 38D2096745: Jefferson Lodge Memory Care
Dallas, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2096745 belongs to Jefferson Lodge Memory Care in Dallas, OR.
Certificate of Waiver, effective June 1, 2025, expires May 31, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 1, 2025
- Certificate expiration
- May 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 1, 2015
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 38D2096745
- Lab name
- Jefferson Lodge Memory Care
- Address
- 664 SE Jefferson St, Dallas, OR 97338
- Phone
- (503) 623-8104
- Fax
- (503) 623-0772
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Dallas, OR
- City of Dallas AmbulanceCertificate of Waiver, Ambulance38D0695225
- Compass Medical Clinic LLCCertificate of Waiver, Community clinic38D1075230
- Dallas Family CareCertificate of Waiver, Physician office38D2232173
- Dallas Retirement VillageCertificate of Waiver, Skilled nursing or nursing facility38D0687093
- Dallas Retirement VillageCertificate of Waiver, Assisted living facility38D2246519
- Emurgent Care, LLCCertificate of Waiver, Other38D2063124
- Icco DBA Best MedCertificate of Waiver, Other38D2212224
- Polk County JailCertificate of Waiver, Prison38D1045955
- Polk County Public HealthCertificate for Provider-Performed Microscopy Procedures, Community clinic38D0667972
- Safeway Pharmacy #4404Certificate of Waiver, Pharmacy38D2083548
Related
Questions
What is the CLIA number for Jefferson Lodge Memory Care in Dallas?
38D2096745, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Lodge Memory Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2096745 expire?
The CMS file lists May 31, 2027 as the certificate expiration date; the certificate took effect June 1, 2025.