50D2279893 CLIA NUMBER - PEACEHEALTH SOUTHWEST ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 50D2279893
  • Facility Name: PEACEHEALTH SOUTHWEST ENDOSCOPY
  • Facility Address: 2312 NE 129TH ST
    VANCOUVER, WA
    ZIP 98686
  • Facility Phone: 360 546-8950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA TOWNE

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CLIA Record

Field Name Field Value
CLIA Number 50D2279893
LAB Type Physician Office
Facility Name PEACEHEALTH SOUTHWEST ENDOSCOPY
Street 2312 NE 129TH ST
City VANCOUVER
State WA
ZIP 98686
Phone 360 546-8950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ERICA TOWNE

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This page was last updated on: 6/4/2025