50D0635317 CLIA NUMBER - AVAMERE REHABILITATION AT RIDGEMONT

Laboratory Demographics

  • CLIA Code: 50D0635317
  • Facility Name: AVAMERE REHABILITATION AT RIDGEMONT
  • Facility Address: 2051 POTTERY AVE
    PORT ORCHARD, WA
    ZIP 98366
  • Facility Phone: 360 876-4461
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DENISE ARTHUR
  • NPI Number: 1033119649
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 50D0635317
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVAMERE REHABILITATION AT RIDGEMONT
Street 2051 POTTERY AVE
City PORT ORCHARD
State WA
ZIP 98366
Phone 360 876-4461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DENISE ARTHUR

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