50D2242859 CLIA NUMBER - RUAN'S GARDEN

Laboratory Demographics

  • CLIA Code: 50D2242859
  • Facility Name: RUAN'S GARDEN
  • Facility Address: 3502 W 4TH AVE
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 783-9305
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LOT HOLLENBACK
  • NPI Number: 1144019050
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2242859
LAB Type Assisted Living Facility
Facility Name RUAN'S GARDEN
Street 3502 W 4TH AVE
City KENNEWICK
State WA
ZIP 99336
Phone 509 783-9305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2021
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director LOT HOLLENBACK

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