50D0638800 CLIA NUMBER - COLVILLE HEALTH AND REHABILITATION OF CASCADIA

Laboratory Demographics

  • CLIA Code: 50D0638800
  • Facility Name: COLVILLE HEALTH AND REHABILITATION OF CASCADIA
  • Facility Address: 1000 E ELEP AVE
    COLVILLE, WA
    ZIP 99114
  • Facility Phone: 509 684-2573
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHY JOHNSTUN
  • NPI Number: 1699019711
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0638800
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLVILLE HEALTH AND REHABILITATION OF CASCADIA
Street 1000 E ELEP AVE
City COLVILLE
State WA
ZIP 99114
Phone 509 684-2573
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 KATHY JOHNSTUN

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