50D2309883 CLIA NUMBER - GOOD SHEPHERD MANOR

Laboratory Demographics

  • CLIA Code: 50D2309883
  • Facility Name: GOOD SHEPHERD MANOR
  • Facility Address: 1493 N SHEPHERD RD
    WASHOUGAL, WA
    ZIP 98671
  • Facility Phone: 360 210-4371
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: MARCIE COLLINS
  • NPI Number: 1245633858
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2309883
LAB Type Other - AFH
Facility Name GOOD SHEPHERD MANOR
Street 1493 N SHEPHERD RD
City WASHOUGAL
State WA
ZIP 98671
Phone 360 210-4371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director MARCIE COLLINS

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