50D2060365 CLIA NUMBER - VICTORIA PLACE

Laboratory Demographics

  • CLIA Code: 50D2060365
  • Facility Name: VICTORIA PLACE
  • Facility Address: 491 DISCOVERY RD
    PORT TOWNSEND, WA
    ZIP 98368
  • Facility Phone: 360 379-8223
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY GIBBONS
  • NPI Number: 1346366986
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2060365
LAB Type Assisted Living Facility
Facility Name VICTORIA PLACE
Street 491 DISCOVERY RD
City PORT TOWNSEND
State WA
ZIP 98368
Phone 360 379-8223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2013
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director KIMBERLY GIBBONS

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