50D0860690 CLIA NUMBER - MT VERNON CARE CENTER

Laboratory Demographics

  • CLIA Code: 50D0860690
  • Facility Name: MT VERNON CARE CENTER
  • Facility Address: 2120 E DIVISION ST
    MOUNT VERNON, WA
    ZIP 98274
  • Facility Phone: 360 424-4258
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MASOUD TALEGHANI
  • NPI Number: 1356395545
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0860690
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MT VERNON CARE CENTER
Street 2120 E DIVISION ST
City MOUNT VERNON
State WA
ZIP 98274
Phone 360 424-4258
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 MASOUD TALEGHANI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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