50D2186506 CLIA NUMBER - WILLAPA BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 50D2186506
  • Facility Name: WILLAPA BEHAVIORAL HEALTH
  • Facility Address: 2204 PACIFIC AVE N
    LONG BEACH, WA
    ZIP 98631
  • Facility Phone: (360) 642-3787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFERY SMITH
  • NPI Number: 1033755244
  • Taxonomy: 175T00000X - Peer Specialist

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CLIA Record

Field Name Field Value
CLIA Number 50D2186506
LAB Type Physician Office
Facility Name WILLAPA BEHAVIORAL HEALTH
Street 2204 PACIFIC AVE N
City LONG BEACH
State WA
ZIP 98631
Phone 3606423787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JEFFERY SMITH

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