50D2271772 CLIA NUMBER - GENEROSO HEALTH

Laboratory Demographics

  • CLIA Code: 50D2271772
  • Facility Name: GENEROSO HEALTH
  • Facility Address: 202 COWLITZ ST W
    CASTLE ROCK, WA
    ZIP 98611
  • Facility Phone: 360 800-9480
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ARVI GENEROSO
  • NPI Number: 1932866134
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2271772
LAB Type Community Clinic
Facility Name GENEROSO HEALTH
Street 202 COWLITZ ST W
City CASTLE ROCK
State WA
ZIP 98611
Phone 360 800-9480
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/8/2022
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director ARVI GENEROSO

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