50D2254866 CLIA NUMBER - THE BRIDGE BIRTH CENTER

Laboratory Demographics

  • CLIA Code: 50D2254866
  • Facility Name: THE BRIDGE BIRTH CENTER
  • Facility Address: 3300 NE 54TH ST
    VANCOUVER, WA
    ZIP 98663
  • Facility Phone: 360 693-6875
  • Facility Type: Other - BIRTH CENTER
  • Facility Type: Waiver
  • Lab Director: LYNETTE PETTIBONE
  • NPI Number: 1962157628
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2254866
LAB Type Other - BIRTH CENTER
Facility Name THE BRIDGE BIRTH CENTER
Street 3300 NE 54TH ST
City VANCOUVER
State WA
ZIP 98663
Phone 360 693-6875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - BIRTH CENTER
Lab Director LYNETTE PETTIBONE

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