50D0902995 CLIA NUMBER - VANCOUVER CLINIC -GATEWAY SALMON CREEK- MOHS, THE

Laboratory Demographics

  • CLIA Code: 50D0902995
  • Facility Name: VANCOUVER CLINIC -GATEWAY SALMON CREEK- MOHS, THE
  • Facility Address: 2621 NE 134TH ST STE 300
    VANCOUVER, WA
    ZIP 98686
  • Facility Phone: 360 882-2778
  • Facility Type: Other - CLINIC
  • Facility Type: Certificate of Compliance
  • Lab Director: ZHENG QIAN
  • NPI Number: 1376688903
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0902995
LAB Type Other - CLINIC
Facility Name VANCOUVER CLINIC -GATEWAY SALMON CREEK- MOHS, THE
Street 2621 NE 134TH ST STE 300
City VANCOUVER
State WA
ZIP 98686
Phone 360 882-2778
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/8/2004
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director ZHENG QIAN

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This page was last updated on: 3/20/2025