50D2090749 CLIA NUMBER - CASCADE COMMUNITY HEALTH CARE

Laboratory Demographics

  • CLIA Code: 50D2090749
  • Facility Name: CASCADE COMMUNITY HEALTH CARE
  • Facility Address: 2428 W REYNOLDS AVE
    CENTRALIA, WA
    ZIP 98531
  • Facility Phone: 360 330-9044
  • Facility Type: Other - COMMUNITY MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: ROY D. SCHLEGEL
  • NPI Number: 1619068624
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 50D2090749
LAB Type Other - COMMUNITY MENTAL HEALTH
Facility Name CASCADE COMMUNITY HEALTH CARE
Street 2428 W REYNOLDS AVE
City CENTRALIA
State WA
ZIP 98531
Phone 360 330-9044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2015
Certificate Expiration Date 4/4/2028
Facility Type Other - COMMUNITY MENTAL HEALTH
Lab Director ROY D. SCHLEGEL

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This page was last updated on: 6/4/2025