50D0883690 CLIA NUMBER - GREEN HILL SCHOOL / DCYF

Laboratory Demographics

  • CLIA Code: 50D0883690
  • Facility Name: GREEN HILL SCHOOL / DCYF
  • Facility Address: 375 SW 11TH ST
    CHEHALIS, WA
    ZIP 98532
  • Facility Phone: 360 740-3400
  • Facility Type: Other - PRISON, DENTAL, PSYCH
  • Facility Type: Waiver
  • Lab Director: DEBRA GROSS
  • NPI Number: 1063306678
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 50D0883690
LAB Type Other - PRISON, DENTAL, PSYCH
Facility Name GREEN HILL SCHOOL / DCYF
Street 375 SW 11TH ST
City CHEHALIS
State WA
ZIP 98532
Phone 360 740-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/1994
Certificate Expiration Date 4/4/2028
Facility Type Other - PRISON, DENTAL, PSYCH
Lab Director DEBRA GROSS

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