50D2203753 CLIA NUMBER - VITAL CARE, PLLC

Laboratory Demographics

  • CLIA Code: 50D2203753
  • Facility Name: VITAL CARE, PLLC
  • Facility Address: 101 NW 12TH AVE STE 107
    BATTLE GROUND, WA
    ZIP 98604
  • Facility Phone: 360 583-4636
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AMELIA EVANS
  • NPI Number: 1093301418
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2203753
LAB Type Physician Office
Facility Name VITAL CARE, PLLC
Street 101 NW 12TH AVE STE 107
City BATTLE GROUND
State WA
ZIP 98604
Phone 360 583-4636
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/28/2022
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director AMELIA EVANS

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