50D0988185 CLIA NUMBER - CASCADE FAMILY MEDICINE PS

Laboratory Demographics

CLIA Number: 50D0988185

Facility Name: CASCADE FAMILY MEDICINE PS

Facility Address:
16500 SE 15TH ST STE 100
VANCOUVER, WA
ZIP 98683
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Facility Phone Number: 360 254-4402

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063622355

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 50D0988185
LAB Type Physician Office
Facility Name CASCADE FAMILY MEDICINE PS
Street 16500 SE 15TH ST STE 100
City VANCOUVER
State WA
ZIP 98683
Phone 360 254-4402
CertificateType 4
CertificateEffectiveDate 6/21/2001
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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This page was last updated on: 4/23/2024