50D2008834 CLIA NUMBER - COMMUNITY HEALTH PARTNERS

Laboratory Demographics

CLIA Number: 50D2008834

Facility Name: COMMUNITY HEALTH PARTNERS

Facility Address:
945 WASHINGTON WAY STE 141
LONGVIEW, WA
ZIP 98632
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Facility Phone Number: 503 703-4624

Facility Type: Other - CLINIC

Certificate Type: Waiver

NPI Number: 1871573766

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 50D2008834
LAB Type Other - CLINIC
Facility Name COMMUNITY HEALTH PARTNERS
Street 945 WASHINGTON WAY STE 141
City LONGVIEW
State WA
ZIP 98632
Phone 503 703-4624
CertificateType 4
CertificateEffectiveDate 6/18/2010
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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