50D2293044 CLIA NUMBER - GOLDEN YEARS

Laboratory Demographics

  • CLIA Code: 50D2293044
  • Facility Name: GOLDEN YEARS
  • Facility Address: 48 HUBBARD RD
    RIVERSIDE, WA
    ZIP 98849
  • Facility Phone: 509 846-0146
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: MANDY HOLZ
  • NPI Number: 1972901130
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2293044
LAB Type Other - AFH
Facility Name GOLDEN YEARS
Street 48 HUBBARD RD
City RIVERSIDE
State WA
ZIP 98849
Phone 509 846-0146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director MANDY HOLZ

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