50D2296333 CLIA NUMBER - COUNTRY HAVEN SENIOR HOME

Laboratory Demographics

  • CLIA Code: 50D2296333
  • Facility Name: COUNTRY HAVEN SENIOR HOME
  • Facility Address: 6620 KANSAS ST
    VANCOUVER, WA
    ZIP 98661
  • Facility Phone: 253 709-0483
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: ELVIE GICHANGA

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CLIA Record

Field Name Field Value
CLIA Number 50D2296333
LAB Type Other - AFH
Facility Name COUNTRY HAVEN SENIOR HOME
Street 6620 KANSAS ST
City VANCOUVER
State WA
ZIP 98661
Phone 253 709-0483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director ELVIE GICHANGA

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