50D2227279 CLIA NUMBER - EVERGREEN PUBLIC SCHOOLS

Laboratory Demographics

  • CLIA Code: 50D2227279
  • Facility Name: EVERGREEN PUBLIC SCHOOLS
  • Facility Address: 13413 NE LEROY HAGEN MEMORIAL DR
    VANCOUVER, WA
    ZIP 98684
  • Facility Phone: 360 604-4000
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ANNA WINTERS
  • NPI Number: 1245311141
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2227279
LAB Type School/Student Health Service
Facility Name EVERGREEN PUBLIC SCHOOLS
Street 13413 NE LEROY HAGEN MEMORIAL DR
City VANCOUVER
State WA
ZIP 98684
Phone 360 604-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2021
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director ANNA WINTERS

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