50D0668647 CLIA NUMBER - KAISER PERMANENTE CASCADE PARK

Laboratory Demographics

  • CLIA Code: 50D0668647
  • Facility Name: KAISER PERMANENTE CASCADE PARK
  • Facility Address: 12607 SE MILL PLAIN BLVD
    VANCOUVER, WA
    ZIP 98684
  • Facility Phone: (503) 258-6831
  • Facility Type: Health Main. Organization
  • Facility Type: Certificate of Compliance
  • Lab Director: REVA RICKETTS-LORIAUX
  • NPI Number: 1184670739
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0668647
LAB Type Health Main. Organization
Facility Name KAISER PERMANENTE CASCADE PARK
Street 12607 SE MILL PLAIN BLVD
City VANCOUVER
State WA
ZIP 98684
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