50D0951952 CLIA NUMBER - POPE'S KIDS PLACE

Laboratory Demographics

  • CLIA Code: 50D0951952
  • Facility Name: POPE'S KIDS PLACE
  • Facility Address: 230 WASHINGTON WAY
    CENTRALIA, WA
    ZIP 98531
  • Facility Phone: 360 736-9178
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER DAVENPORT
  • NPI Number: 1649497603
  • Taxonomy: 2080H0002X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 50D0951952
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name POPE'S KIDS PLACE
Street 230 WASHINGTON WAY
City CENTRALIA
State WA
ZIP 98531
Phone 360 736-9178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2021
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HEATHER DAVENPORT

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