50D2162780 CLIA NUMBER - AVAMERE AT MOSES LAKE

Laboratory Demographics

  • CLIA Code: 50D2162780
  • Facility Name: AVAMERE AT MOSES LAKE
  • Facility Address: 8425 ASPI BLVD NE
    MOSES LAKE, WA
    ZIP 98837
  • Facility Phone: 509 762-9115
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JODI MONTOYA
  • NPI Number: 1063908556
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2162780
LAB Type Assisted Living Facility
Facility Name AVAMERE AT MOSES LAKE
Street 8425 ASPI BLVD NE
City MOSES LAKE
State WA
ZIP 98837
Phone 509 762-9115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2019
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director JODI MONTOYA

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