50D2140339 CLIA NUMBER - VANCOUVER CLINIC CTC, THE

Laboratory Demographics

  • CLIA Code: 50D2140339
  • Facility Name: VANCOUVER CLINIC CTC, THE
  • Facility Address: 501 SE 172ND AVE STE 160
    VANCOUVER, WA
    ZIP 98684
  • Facility Phone: 360 397-4488
  • Facility Type: Other - CLINIC
  • Facility Type: Certificate of Compliance
  • Lab Director: BENJAMIN YAN
  • NPI Number: 1376688903
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2140339
LAB Type Other - CLINIC
Facility Name VANCOUVER CLINIC CTC, THE
Street 501 SE 172ND AVE STE 160
City VANCOUVER
State WA
ZIP 98684
Phone 360 397-4488
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/20/2017
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director BENJAMIN YAN

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