50D0637505 CLIA NUMBER - KAISER PERMANENTE LONGVIEW

Laboratory Demographics

  • CLIA Code: 50D0637505
  • Facility Name: KAISER PERMANENTE LONGVIEW
  • Facility Address: 1230 7TH AVE
    LONGVIEW, WA
    ZIP 98632
  • Facility Phone: (503) 258-6831
  • Facility Type: Health Main. Organization
  • Facility Type: Certificate of Compliance
  • Lab Director: REVA RICKETTS-LORIAUX
  • NPI Number: 1306893417
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0637505
LAB Type Health Main. Organization
Facility Name KAISER PERMANENTE LONGVIEW
Street 1230 7TH AVE
City LONGVIEW
State WA
ZIP 98632
Phone 5032586831
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/21/2002
Certificate Expiration Date 4/4/2028
Facility Type Health Main. Organization
Lab Director REVA RICKETTS-LORIAUX

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This page was last updated on: 5/18/2026