50D2190163 CLIA NUMBER - DELTA DIRECT CARE - GRAND CENTRAL

Laboratory Demographics

  • CLIA Code: 50D2190163
  • Facility Name: DELTA DIRECT CARE - GRAND CENTRAL
  • Facility Address: 2370 E 3RD LOOP STE 203A
    VANCOUVER, WA
    ZIP 98661
  • Facility Phone: 360 999-5138
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA D. RAMZI
  • NPI Number: 1124631296
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2190163
LAB Type Physician Office
Facility Name DELTA DIRECT CARE - GRAND CENTRAL
Street 2370 E 3RD LOOP STE 203A
City VANCOUVER
State WA
ZIP 98661
Phone 360 999-5138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2020
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MARIA D. RAMZI

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