50D2292604 CLIA NUMBER - CEDAR HILLS ADULT RESIDENTIAL CARE, INC

Laboratory Demographics

  • CLIA Code: 50D2292604
  • Facility Name: CEDAR HILLS ADULT RESIDENTIAL CARE, INC
  • Facility Address: 1603 DRAKE CT
    YAKIMA, WA
    ZIP 98902
  • Facility Phone: 509 457-6954
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: JUSTINE PRATHER
  • NPI Number: 1053583617
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2292604
LAB Type Other - AFH
Facility Name CEDAR HILLS ADULT RESIDENTIAL CARE, INC
Street 1603 DRAKE CT
City YAKIMA
State WA
ZIP 98902
Phone 509 457-6954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director JUSTINE PRATHER

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