50D2220765 CLIA NUMBER - CLEARWATER SPRINGS ASSISTED LIVING

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Laboratory Demographics

CLIA Number: 50D2220765

Facility Name: CLEARWATER SPRINGS ASSISTED LIVING

Facility Address:
201 NW 78TH ST
VANCOUVER, WA
ZIP 98665
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Facility Phone Number: 360 546-3344

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1114543501

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	50D2220765
LAB Type	Assisted Living Facility
Facility Name	CLEARWATER SPRINGS ASSISTED LIVING
Street	201 NW 78TH ST
City	VANCOUVER
State	WA
ZIP	98665
Phone	360 546-3344
CertificateType	4
CertificateEffectiveDate	4/14/2021
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024