50D2302412 CLIA NUMBER - ORCHARD'S ADULT CARE, LLC

Laboratory Demographics

  • CLIA Code: 50D2302412
  • Facility Name: ORCHARD'S ADULT CARE, LLC
  • Facility Address: 7813 NE 110TH AVE
    VANCOUVER, WA
    ZIP 98662
  • Facility Phone: 360 883-0104
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: MINERVA RODRIGUEZ
  • NPI Number: 1285863597
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D2302412
LAB Type Other - AFH
Facility Name ORCHARD'S ADULT CARE, LLC
Street 7813 NE 110TH AVE
City VANCOUVER
State WA
ZIP 98662
Phone 360 883-0104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director MINERVA RODRIGUEZ

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