50D2292881 CLIA NUMBER - COLUMBIA ADULT FOSTER HOME

Laboratory Demographics

  • CLIA Code: 50D2292881
  • Facility Name: COLUMBIA ADULT FOSTER HOME
  • Facility Address: 14311 SE 15TH ST
    VANCOUVER, WA
    ZIP 98683
  • Facility Phone: 360 882-6594
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: GICU BUDAU
  • NPI Number: 1225219710
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2292881
LAB Type Other - AFH
Facility Name COLUMBIA ADULT FOSTER HOME
Street 14311 SE 15TH ST
City VANCOUVER
State WA
ZIP 98683
Phone 360 882-6594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director GICU BUDAU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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