50D2076853 CLIA NUMBER - FIELDSTONE MEMORY CARE

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Laboratory Demographics

CLIA Number: 50D2076853

Facility Name: FIELDSTONE MEMORY CARE

Facility Address:
4120 ENGLEWOOD AVE
YAKIMA, WA
ZIP 98908
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Facility Phone Number: 509 965-5282

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1801330089

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	50D2076853
LAB Type	Assisted Living Facility
Facility Name	FIELDSTONE MEMORY CARE
Street	4120 ENGLEWOOD AVE
City	YAKIMA
State	WA
ZIP	98908
Phone	509 965-5282
CertificateType	4
CertificateEffectiveDate	4/28/2014
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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