50D2090637 CLIA NUMBER - ROSE URGENT CARE AND FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2090637
  • Facility Name: ROSE URGENT CARE AND FAMILY MEDICINE
  • Facility Address: 650 N DEVINE RD STE B
    VANCOUVER, WA
    ZIP 98661
  • Facility Phone: 360 949-3392
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW H. ROSE
  • NPI Number: 1063818573
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2090637
LAB Type Physician Office
Facility Name ROSE URGENT CARE AND FAMILY MEDICINE
Street 650 N DEVINE RD STE B
City VANCOUVER
State WA
ZIP 98661
Phone 360 949-3392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MATTHEW H. ROSE

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