50D2229759 CLIA NUMBER - COWLITZ INDIAN TRIBE

Laboratory Demographics

  • CLIA Code: 50D2229759
  • Facility Name: COWLITZ INDIAN TRIBE
  • Facility Address: 7700 NE 26TH AVE
    VANCOUVER, WA
    ZIP 98665
  • Facility Phone: 360 397-8228
  • Facility Type: Other - DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: LORI RYAN
  • NPI Number: 1164649679
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2229759
LAB Type Other - DRUG TREATMENT
Facility Name COWLITZ INDIAN TRIBE
Street 7700 NE 26TH AVE
City VANCOUVER
State WA
ZIP 98665
Phone 360 397-8228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2021
Certificate Expiration Date 4/4/2028
Facility Type Other - DRUG TREATMENT
Lab Director LORI RYAN

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