50D0637772 CLIA NUMBER - VANCOUVER SPECIALTY AND REHABILITATIVE CARE

Laboratory Demographics

  • CLIA Code: 50D0637772
  • Facility Name: VANCOUVER SPECIALTY AND REHABILITATIVE CARE
  • Facility Address: 1015 N GARRISON RD
    VANCOUVER, WA
    ZIP 98664
  • Facility Phone: 360 903-8648
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CANDACE JOHNSON
  • NPI Number: 1760658736
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0637772
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VANCOUVER SPECIALTY AND REHABILITATIVE CARE
Street 1015 N GARRISON RD
City VANCOUVER
State WA
ZIP 98664
Phone 360 903-8648
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 CANDACE JOHNSON

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