50D2301567 CLIA NUMBER - ROYAL COLUMBIAN

Laboratory Demographics

  • CLIA Code: 50D2301567
  • Facility Name: ROYAL COLUMBIAN
  • Facility Address: 5615 W UMATILLA AVE
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 783-1628
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JACKIE GOODEN
  • NPI Number: 1891236881
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2301567
LAB Type Assisted Living Facility
Facility Name ROYAL COLUMBIAN
Street 5615 W UMATILLA AVE
City KENNEWICK
State WA
ZIP 99336
Phone 509 783-1628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director JACKIE GOODEN

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