50D0637770 CLIA NUMBER - DERMATOLOGY ASSOCIATES OF SOUTHWEST WASHINGTON

Laboratory Demographics

  • CLIA Code: 50D0637770
  • Facility Name: DERMATOLOGY ASSOCIATES OF SOUTHWEST WASHINGTON
  • Facility Address: 8614 E MILL PLAIN BLVD STE 400
    VANCOUVER, WA
    ZIP 98664
  • Facility Phone: 360 254-5267
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOEL H. DATLOFF
  • NPI Number: 1336177880
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0637770
LAB Type Physician Office
Facility Name DERMATOLOGY ASSOCIATES OF SOUTHWEST WASHINGTON
Street 8614 E MILL PLAIN BLVD STE 400
City VANCOUVER
State WA
ZIP 98664
Phone 360 254-5267
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 11/1/1993
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOEL H. DATLOFF

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