50D2252747 CLIA NUMBER - CLARKSTON HEALTH AND REHABILITATION OF CASCADIA

Laboratory Demographics

  • CLIA Code: 50D2252747
  • Facility Name: CLARKSTON HEALTH AND REHABILITATION OF CASCADIA
  • Facility Address: 1242 11TH ST
    CLARKSTON, WA
    ZIP 99403
  • Facility Phone: 509 758-2523
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATELYN HAWKINS
  • NPI Number: 1568573269
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2252747
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CLARKSTON HEALTH AND REHABILITATION OF CASCADIA
Street 1242 11TH ST
City CLARKSTON
State WA
ZIP 99403
Phone 509 758-2523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2022
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KATELYN HAWKINS

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This page was last updated on: 6/4/2025