50D1033523 CLIA NUMBER - WCHS INC VANCOUVER TREATMENT SOLUTIONS

Laboratory Demographics

  • CLIA Code: 50D1033523
  • Facility Name: WCHS INC VANCOUVER TREATMENT SOLUTIONS
  • Facility Address: 2009 NE 117TH ST STE 101
    VANCOUVER, WA
    ZIP 98686
  • Facility Phone: 360 566-9112
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GILBERT SIMAS
  • NPI Number: 1215074539
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1033523
LAB Type Other
Facility Name WCHS INC VANCOUVER TREATMENT SOLUTIONS
Street 2009 NE 117TH ST STE 101
City VANCOUVER
State WA
ZIP 98686
Phone 360 566-9112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2004
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director GILBERT SIMAS

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This page was last updated on: 6/4/2025