50D2195595 CLIA NUMBER - AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC PORT ANGELES

Laboratory Demographics

  • CLIA Code: 50D2195595
  • Facility Name: AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC PORT ANGELES
  • Facility Address: 825 E 5TH ST
    PORT ANGELES, WA
    ZIP 98362
  • Facility Phone: 360 477-4790
  • Facility Type: Other - DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: TONY PRENTICE
  • NPI Number: 1649668666
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2195595
LAB Type Other - DRUG TREATMENT
Facility Name AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC PORT ANGELES
Street 825 E 5TH ST
City PORT ANGELES
State WA
ZIP 98362
Phone 360 477-4790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2020
Certificate Expiration Date 4/4/2028
Facility Type Other - DRUG TREATMENT
Lab Director TONY PRENTICE

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