WILDFLOWER LODGE
NPI 1043337843
Assisted Living Facility in La Grande, OR
About Wildflower Lodge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILDFLOWER LODGE (NPI 1043337843) is a healthcare organization registered as an assisted living facility in La Grande, Oregon and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Jon M Harder, Manager, as its authorized official.Information from the official NPPES registry record, last updated July 23, 2008.
NPPES Registry Identity
★ Primary Specialty
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and… Show more
Also on File with NPPES
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2196185
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 15, 2024
- Certificate Expiration Date
- October 14, 2026
- Laboratory Director
- EMILY TAGHON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wildflower Lodge to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043337843, enumerated as an "organization" on March 25, 2007.
The provider is located at 508 16TH ST LA GRANDE, OR 97850 and the phone number is (541) 663-1200.
Assisted Living Facility with taxonomy code 310400000X.