50D2044931 CLIA NUMBER - CLEARBROOK INN LIVING CENTER

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Laboratory Demographics

CLIA Number: 50D2044931

Facility Name: CLEARBROOK INN LIVING CENTER

Facility Address:
2333 NW SCHOLD PL
SILVERDALE, WA
ZIP 98383
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Facility Phone Number: 360 692-1228

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1770589129

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	50D2044931
LAB Type	Assisted Living Facility
Facility Name	CLEARBROOK INN LIVING CENTER
Street	2333 NW SCHOLD PL
City	SILVERDALE
State	WA
ZIP	98383
Phone	360 692-1228
CertificateType	4
CertificateEffectiveDate	8/2/2012
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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