50D2131826 CLIA NUMBER - BROOKDALE HEARTHSTONE MOSES LAKE

Laboratory Demographics

  • CLIA Code: 50D2131826
  • Facility Name: BROOKDALE HEARTHSTONE MOSES LAKE
  • Facility Address: 905 S PIONEER WAY
    MOSES LAKE, WA
    ZIP 98837
  • Facility Phone: (509) 765-2121
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KARLA VILLLEGAS
  • NPI Number: 1891839049
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2131826
LAB Type Assisted Living Facility
Facility Name BROOKDALE HEARTHSTONE MOSES LAKE
Street 905 S PIONEER WAY
City MOSES LAKE
State WA
ZIP 98837
Phone 5097652121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director KARLA VILLLEGAS

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