50D0621656 CLIA NUMBER - PLANNED PARENTHOOD COLUMBIA WILLAMETTE VANCOUVER

Laboratory Demographics

CLIA Number: 50D0621656

Facility Name: PLANNED PARENTHOOD COLUMBIA WILLAMETTE VANCOUVER

Facility Address:
11516 SE MILL PLAIN BLVD STE 2E
VANCOUVER, WA
ZIP 98684
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Facility Phone Number: 503 775-4931

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1699144865

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	50D0621656
LAB Type	Community Clinic
Facility Name	PLANNED PARENTHOOD COLUMBIA WILLAMETTE VANCOUVER
Street	11516 SE MILL PLAIN BLVD STE 2E
City	VANCOUVER
State	WA
ZIP	98684
Phone	503 775-4931
CertificateType	3
CertificateEffectiveDate	7/18/2023
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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