50D2103529 CLIA NUMBER - PACIFIC GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 50D2103529
  • Facility Name: PACIFIC GASTROENTEROLOGY
  • Facility Address: 8506 E MILL PLAIN BLVD STE B
    VANCOUVER, WA
    ZIP 98664
  • Facility Phone: (360) 823-0880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEHDI S. FERDOWS
  • NPI Number: 1275715526
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 50D2103529
LAB Type Physician Office
Facility Name PACIFIC GASTROENTEROLOGY
Street 8506 E MILL PLAIN BLVD STE B
City VANCOUVER
State WA
ZIP 98664
Phone 3608230880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MEHDI S. FERDOWS

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This page was last updated on: 5/18/2026