50D0874634 CLIA NUMBER - REGENCY AT THE PARK

Laboratory Demographics

  • CLIA Code: 50D0874634
  • Facility Name: REGENCY AT THE PARK
  • Facility Address: 420 SE MYRA ROAD
    COLLEGE PLACE, WA
    ZIP 99324
  • Facility Phone: (509) 529-4480
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT CARMODY
  • NPI Number: 1356383202
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0874634
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name REGENCY AT THE PARK
Street 420 SE MYRA ROAD
City COLLEGE PLACE
State WA
ZIP 99324
Phone 5095294480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/1993
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ROBERT CARMODY

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This page was last updated on: 5/18/2026