50D2256584 CLIA NUMBER - BAY VISTA COMMONS ASSISTED LIVING COMMUNITY

Laboratory Demographics

CLIA Number: 50D2256584

Facility Name: BAY VISTA COMMONS ASSISTED LIVING COMMUNITY

Facility Address:
191 RUSSELL RD
BREMERTON, WA
ZIP 98312
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Facility Phone Number: 360 377-8300

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1225475858

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	50D2256584
LAB Type	Assisted Living Facility
Facility Name	BAY VISTA COMMONS ASSISTED LIVING COMMUNITY
Street	191 RUSSELL RD
City	BREMERTON
State	WA
ZIP	98312
Phone	360 377-8300
CertificateType	4
CertificateEffectiveDate	3/25/2022
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024