50D2304572 CLIA NUMBER - CHRISTINA'S PLACE LLC

Laboratory Demographics

  • CLIA Code: 50D2304572
  • Facility Name: CHRISTINA'S PLACE LLC
  • Facility Address: 22616 NW 11TH AVE
    RIDGEFIELD, WA
    ZIP 98642
  • Facility Phone: 360 887-4729
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: CHRISTINA SOARE
  • NPI Number: 1245009216
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 50D2304572
LAB Type Other - AFH
Facility Name CHRISTINA'S PLACE LLC
Street 22616 NW 11TH AVE
City RIDGEFIELD
State WA
ZIP 98642
Phone 360 887-4729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director CHRISTINA SOARE

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