50D2086352 CLIA NUMBER - EVERGREEN EYE CARE, LLC

Laboratory Demographics

  • CLIA Code: 50D2086352
  • Facility Name: EVERGREEN EYE CARE, LLC
  • Facility Address: 1319 NE 134TH ST STE 107
    VANCOUVER, WA
    ZIP 98685
  • Facility Phone: 360 573-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUZANNE ZAMBERLAN
  • NPI Number: 1255518239
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2086352
LAB Type Physician Office
Facility Name EVERGREEN EYE CARE, LLC
Street 1319 NE 134TH ST STE 107
City VANCOUVER
State WA
ZIP 98685
Phone 360 573-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2014
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director SUZANNE ZAMBERLAN

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