50D2022855 CLIA NUMBER - PEACEHEALTH CAMAS CLLINIC

Laboratory Demographics

  • CLIA Code: 50D2022855
  • Facility Name: PEACEHEALTH CAMAS CLLINIC
  • Facility Address: 3101 SE 192ND AVE STE 106
    VANCOUVER, WA
    ZIP 98683
  • Facility Phone: 360 729-8010
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LEON MCCOOK
  • NPI Number: 1669765244
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2022855
LAB Type Community Clinic
Facility Name PEACEHEALTH CAMAS CLLINIC
Street 3101 SE 192ND AVE STE 106
City VANCOUVER
State WA
ZIP 98683
Phone 360 729-8010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2011
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director LEON MCCOOK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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