50D0863099 CLIA NUMBER - PEACEHEALTH SOUTHWEST HOSPICE & PEACEHEALTH SOUTHWEST HOME HEALTH

Laboratory Demographics

  • CLIA Code: 50D0863099
  • Facility Name: PEACEHEALTH SOUTHWEST HOSPICE & PEACEHEALTH SOUTHWEST HOME HEALTH
  • Facility Address: 5400 MACARTHUR BLVD STE 201
    VANCOUVER, WA
    ZIP 98661
  • Facility Phone: 360 759-1500
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALICIA MORRISON
  • NPI Number: 1285720896
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 50D0863099
LAB Type Home Health Agency
Facility Name PEACEHEALTH SOUTHWEST HOSPICE & PEACEHEALTH SOUTHWEST HOME HEALTH
Street 5400 MACARTHUR BLVD STE 201
City VANCOUVER
State WA
ZIP 98661
Phone 360 759-1500
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 Home Health Agency
Lab Director ALICIA MORRISON

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