50D2251570 CLIA NUMBER - CORE HEALTH - MAIN

Laboratory Demographics

  • CLIA Code: 50D2251570
  • Facility Name: CORE HEALTH - MAIN
  • Facility Address: 748 14TH AVE
    LONGVIEW, WA
    ZIP 98632
  • Facility Phone: 360 200-5419
  • Facility Type: Other - DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: LAURA SHELLMAN
  • NPI Number: 1639693781
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2251570
LAB Type Other - DRUG TREATMENT
Facility Name CORE HEALTH - MAIN
Street 748 14TH AVE
City LONGVIEW
State WA
ZIP 98632
Phone 360 200-5419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - DRUG TREATMENT
Lab Director LAURA SHELLMAN

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