50D2270116 CLIA NUMBER - QUINAULT WELLNESS CENTER

Laboratory Demographics

CLIA Number: 50D2270116

Facility Name: QUINAULT WELLNESS CENTER

Facility Address:
511 W HERON ST
ABERDEEN, WA
ZIP 98520
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Facility Phone Number: 564 544-1950

Facility Type: Other - DRUG TX

Certificate Type: Waiver

NPI Number: 1881320711

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D2270116
LAB Type	Other - DRUG TX
Facility Name	QUINAULT WELLNESS CENTER
Street	511 W HERON ST
City	ABERDEEN
State	WA
ZIP	98520
Phone	564 544-1950
CertificateType	4
CertificateEffectiveDate	10/10/2022
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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