50D2207612 CLIA NUMBER - COWLITZ INDIAN TRIBE BEHAVIORAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 50D2207612
  • Facility Name: COWLITZ INDIAN TRIBE BEHAVIORAL HEALTH SERVICES
  • Facility Address: 6450 SOUTHCENTER BLVD STE 102
    TUKWILA, WA
    ZIP 98188
  • Facility Phone: 206 466-5410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMOS CHEN
  • NPI Number: 1538412630
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2207612
LAB Type Physician Office
Facility Name COWLITZ INDIAN TRIBE BEHAVIORAL HEALTH SERVICES
Street 6450 SOUTHCENTER BLVD STE 102
City TUKWILA
State WA
ZIP 98188
Phone 206 466-5410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2020
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director AMOS CHEN

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