50D2261163 CLIA NUMBER - ALLEN GABRIEL MD

Laboratory Demographics

  • CLIA Code: 50D2261163
  • Facility Name: ALLEN GABRIEL MD
  • Facility Address: 703 BROADWAY ST STE 700
    VANCOUVER, WA
    ZIP 98660
  • Facility Phone: 360 869-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLEN GABRIEL
  • NPI Number: 1821146770
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 50D2261163
LAB Type Physician Office
Facility Name ALLEN GABRIEL MD
Street 703 BROADWAY ST STE 700
City VANCOUVER
State WA
ZIP 98660
Phone 360 869-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2022
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ALLEN GABRIEL

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