50D2096400 CLIA NUMBER - COLUMBIA WELLNESS

Laboratory Demographics

  • CLIA Code: 50D2096400
  • Facility Name: COLUMBIA WELLNESS
  • Facility Address: 921 14TH AVE
    LONGVIEW, WA
    ZIP 98632
  • Facility Phone: 360 423-0203
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: CESAR RAFANO
  • NPI Number: 1487659579
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 50D2096400
LAB Type Other - CLINIC
Facility Name COLUMBIA WELLNESS
Street 921 14TH AVE
City LONGVIEW
State WA
ZIP 98632
Phone 360 423-0203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2015
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director CESAR RAFANO

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