50D2176253 CLIA NUMBER - CASCADE IMAGING ASSOCIATES

Laboratory Demographics

CLIA Number: 50D2176253

Facility Name: CASCADE IMAGING ASSOCIATES

Facility Address:
1320 E DIVISION ST
MOUNT VERNON, WA
ZIP 98274
Get Directions

Facility Phone Number: 360 424-6161

Facility Type: Other - DIAGNOSTIC RADIOLOGY

Certificate Type: Waiver

NPI Number: 1013071877

Taxonomy: 261QM1200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 50D2176253
LAB Type Other - DIAGNOSTIC RADIOLOGY
Facility Name CASCADE IMAGING ASSOCIATES
Street 1320 E DIVISION ST
City MOUNT VERNON
State WA
ZIP 98274
Phone 360 424-6161
CertificateType 4
CertificateEffectiveDate 12/10/2019
CertificateExpirationDate 4/4/2028
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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