50D2060365 CLIA NUMBER - VICTORIA PLACE

Home > CLIA Lookup > 50D2060365

Laboratory Demographics

CLIA Number: 50D2060365

Facility Name: VICTORIA PLACE

Facility Address:
491 DISCOVERY RD
PORT TOWNSEND, WA
ZIP 98368
Get Directions

Facility Phone Number: 360 379-8223

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1346366986

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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
CertificateType	4
CertificateEffectiveDate	6/11/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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