50D2139953 CLIA NUMBER - KELSO TREATMENT SOLUTIONS

Laboratory Demographics

  • CLIA Code: 50D2139953
  • Facility Name: KELSO TREATMENT SOLUTIONS
  • Facility Address: 305 PACIFIC AVE S STE C
    KELSO, WA
    ZIP 98626
  • Facility Phone: 877 575-5464
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: GILBERT SIMAS
  • NPI Number: 1457860959
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2139953
LAB Type Comp. Outpatient Rehab Facility
Facility Name KELSO TREATMENT SOLUTIONS
Street 305 PACIFIC AVE S STE C
City KELSO
State WA
ZIP 98626
Phone 877 575-5464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2017
Certificate Expiration Date 4/4/2028
Facility Type Comp. Outpatient Rehab Facility
Lab Director GILBERT SIMAS

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