50D2302756 CLIA NUMBER - HAZEL DELL CARE LLC

Laboratory Demographics

  • CLIA Code: 50D2302756
  • Facility Name: HAZEL DELL CARE LLC
  • Facility Address: 508 NW 83RD ST
    VANCOUVER, WA
    ZIP 98665
  • Facility Phone: 360 953-8561
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: STELUTA CHIRU
  • NPI Number: 1588802656
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2302756
LAB Type Other - AFH
Facility Name HAZEL DELL CARE LLC
Street 508 NW 83RD ST
City VANCOUVER
State WA
ZIP 98665
Phone 360 953-8561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director STELUTA CHIRU

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