50D2121120 CLIA NUMBER - HOSPICE OF THE NORTHWEST

Laboratory Demographics

CLIA Number: 50D2121120

Facility Name: HOSPICE OF THE NORTHWEST

Facility Address:
227 FREEWAY DR STE A
MOUNT VERNON, WA
ZIP 98273
Get Directions

Facility Phone Number: 360 814-5550

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1174693139

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	50D2121120
LAB Type	Hospice
Facility Name	HOSPICE OF THE NORTHWEST
Street	227 FREEWAY DR STE A
City	MOUNT VERNON
State	WA
ZIP	98273
Phone	360 814-5550
CertificateType	4
CertificateEffectiveDate	10/31/2016
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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