50D2190856 CLIA NUMBER - REBOUND

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CLIA Record

Field Name Field Value
CLIA Number 50D2190856
LAB Type Physician Office
Facility Name REBOUND
Street 200 NE MOTHER JOSEPH PL STE 110
City VANCOUVER
State WA
ZIP 98664
Phone 360 449-1075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director STEVE SOUTHERLAND

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