50D1090816 CLIA NUMBER - THE VANCOUVER CLINIC

Laboratory Demographics

  • CLIA Code: 50D1090816
  • Facility Name: THE VANCOUVER CLINIC
  • Facility Address: 700 NE 87TH AVE
    VANCOUVER, WA
    ZIP 98664
  • Facility Phone: 360 397-3093
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: KIM JEWELL
  • NPI Number: 1376503573
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 50D1090816
LAB Type Ambulatory Surgery Center
Facility Name THE VANCOUVER CLINIC
Street 700 NE 87TH AVE
City VANCOUVER
State WA
ZIP 98664
Phone 360 397-3093
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 10/20/2008
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director KIM JEWELL

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