50D0920932 CLIA NUMBER - KAISER PERMANENTE SALMON CREEK

Laboratory Demographics

  • CLIA Code: 50D0920932
  • Facility Name: KAISER PERMANENTE SALMON CREEK
  • Facility Address: 14406 NE 20TH AVE
    VANCOUVER, WA
    ZIP 98686
  • Facility Phone: 360 571-3061
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: REVA RICKETTS-LORIAUX
  • NPI Number: 1861727414
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0920932
LAB Type Community Clinic
Facility Name KAISER PERMANENTE SALMON CREEK
Street 14406 NE 20TH AVE
City VANCOUVER
State WA
ZIP 98686
Phone 360 571-3061
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/1/2019
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director REVA RICKETTS-LORIAUX

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