50D0637245 CLIA NUMBER - FIR LANE HEALTH AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 50D0637245
  • Facility Name: FIR LANE HEALTH AND REHABILITATION CENTER
  • Facility Address: 2430 N 13TH ST
    SHELTON, WA
    ZIP 98584
  • Facility Phone: 360 426-1651
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEANETTE MILLS
  • NPI Number: 1831603075
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0637245
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FIR LANE HEALTH AND REHABILITATION CENTER
Street 2430 N 13TH ST
City SHELTON
State WA
ZIP 98584
Phone 360 426-1651
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 JEANETTE MILLS

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This page was last updated on: 6/4/2025