50D0637019 CLIA NUMBER - HARBORS HOME HEALTH & HOSPICE

Laboratory Demographics

CLIA Number: 50D0637019

Facility Name: HARBORS HOME HEALTH & HOSPICE

Facility Address:
201 7TH
HOQUIAM, WA
ZIP 98550
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Facility Phone Number: 360 532-5454

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1093870487

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 50D0637019
LAB Type Home Health Agency
Facility Name HARBORS HOME HEALTH & HOSPICE
Street 201 7TH
City HOQUIAM
State WA
ZIP 98550
Phone 360 532-5454
CertificateType 4
CertificateEffectiveDate 9/1/1992
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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