50D2018590 CLIA NUMBER - PACIFICA SENIOR LIVING ELLENSBURG

Laboratory Demographics

  • CLIA Code: 50D2018590
  • Facility Name: PACIFICA SENIOR LIVING ELLENSBURG
  • Facility Address: 818 E MOUNTAIN VIEW AVE
    ELLENSBURG, WA
    ZIP 98926
  • Facility Phone: 509 925-1220
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BRIAN SORENSON
  • NPI Number: 1003362567
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2018590
LAB Type Assisted Living Facility
Facility Name PACIFICA SENIOR LIVING ELLENSBURG
Street 818 E MOUNTAIN VIEW AVE
City ELLENSBURG
State WA
ZIP 98926
Phone 509 925-1220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2011
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director BRIAN SORENSON

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