50D2255705 CLIA NUMBER - PACIFIC CLINICAL SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 50D2255705
  • Facility Name: PACIFIC CLINICAL SERVICES PLLC
  • Facility Address: 3801 MAIN ST STE A
    VANCOUVER, WA
    ZIP 98663
  • Facility Phone: 360 787-4777
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JANET COLEMAN
  • NPI Number: 1124787635
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2255705
LAB Type Community Clinic
Facility Name PACIFIC CLINICAL SERVICES PLLC
Street 3801 MAIN ST STE A
City VANCOUVER
State WA
ZIP 98663
Phone 360 787-4777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2022
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director JANET COLEMAN

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