50D2106681 CLIA NUMBER - SEA MAR COMMUNITY HEALTH CENTERS- BATTLE GROUND

Laboratory Demographics

CLIA Number: 50D2106681

Facility Name: SEA MAR COMMUNITY HEALTH CENTERS- BATTLE GROUND

Facility Address:
118 S PARKWAY AVE
BATTLE GROUND, WA
ZIP 98604
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Facility Phone Number: 360 342-8060

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1962877423

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D2106681
LAB Type	Community Clinic
Facility Name	SEA MAR COMMUNITY HEALTH CENTERS- BATTLE GROUND
Street	118 S PARKWAY AVE
City	BATTLE GROUND
State	WA
ZIP	98604
Phone	360 342-8060
CertificateType	4
CertificateEffectiveDate	6/27/2023
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024