50D2197905 CLIA NUMBER - MALLARD LANDING ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 50D2197905
  • Facility Name: MALLARD LANDING ASSISTED LIVING
  • Facility Address: 813 SE CLARK AVE
    BATTLE GROUND, WA
    ZIP 98604
  • Facility Phone: 360 687-0123
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TC DAVIS
  • NPI Number: 1295879732
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2197905
LAB Type Assisted Living Facility
Facility Name MALLARD LANDING ASSISTED LIVING
Street 813 SE CLARK AVE
City BATTLE GROUND
State WA
ZIP 98604
Phone 360 687-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2020
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director TC DAVIS

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