50D0679994 CLIA NUMBER - COWLITZ COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 50D0679994

Facility Name: COWLITZ COUNTY HEALTH DEPARTMENT

Facility Address:
1952 9TH AVE
LONGVIEW, WA
ZIP 98632
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Facility Phone Number: 360 414-5599

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1003032228

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	50D0679994
LAB Type	Other
Facility Name	COWLITZ COUNTY HEALTH DEPARTMENT
Street	1952 9TH AVE
City	LONGVIEW
State	WA
ZIP	98632
Phone	360 414-5599
CertificateType	4
CertificateEffectiveDate	12/31/1995
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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