50D0705084 CLIA NUMBER - LACAMAS CREEK POST ACUTE

Laboratory Demographics

  • CLIA Code: 50D0705084
  • Facility Name: LACAMAS CREEK POST ACUTE
  • Facility Address: 740 NE DALLAS ST
    CAMAS, WA
    ZIP 98607
  • Facility Phone: 360 834-5055
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MATTHEW VANAUKEN
  • NPI Number: 1770831687
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0705084
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LACAMAS CREEK POST ACUTE
Street 740 NE DALLAS ST
City CAMAS
State WA
ZIP 98607
Phone 360 834-5055
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 MATTHEW VANAUKEN

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