50D2035995 CLIA NUMBER - ARBOR HEALTH SPECIALTY CLINIC

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Laboratory Demographics

CLIA Number: 50D2035995

Facility Name: ARBOR HEALTH SPECIALTY CLINIC

Facility Address:
521 ADAMS
MORTON, WA
ZIP 98356
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Facility Phone Number: 360 496-3641

Facility Type: Other - CLINIC

Certificate Type: Waiver

NPI Number: 1427310341

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D2035995
LAB Type	Other - CLINIC
Facility Name	ARBOR HEALTH SPECIALTY CLINIC
Street	521 ADAMS
City	MORTON
State	WA
ZIP	98356
Phone	360 496-3641
CertificateType	4
CertificateEffectiveDate	1/30/2012
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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