50D0637800 CLIA NUMBER - VANCOUVER CLINIC - SALMON CREEK

Laboratory Demographics

CLIA Number: 50D0637800

Facility Name: VANCOUVER CLINIC - SALMON CREEK

Facility Address:
2525 NE 139TH ST
VANCOUVER, WA
ZIP 98686
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Facility Phone Number: 360 397-4480

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1912198748

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	50D0637800
LAB Type	Physician Office
Facility Name	VANCOUVER CLINIC - SALMON CREEK
Street	2525 NE 139TH ST
City	VANCOUVER
State	WA
ZIP	98686
Phone	360 397-4480
CertificateType	2
CertificateEffectiveDate	11/1/1993
CertificateExpirationDate	4/4/2028
FacilityType	Compliance

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