50D2310186 CLIA NUMBER - EVERGREEN INSPIRE CARE AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2310186
  • Facility Name: EVERGREEN INSPIRE CARE AFH LLC
  • Facility Address: 9608 NE 117TH AVE
    VANCOUVER, WA
    ZIP 98662
  • Facility Phone: 360 836-5282
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: ANABELL FITCHETT
  • NPI Number: 1902854755
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2310186
LAB Type Other - AFH
Facility Name EVERGREEN INSPIRE CARE AFH LLC
Street 9608 NE 117TH AVE
City VANCOUVER
State WA
ZIP 98662
Phone 360 836-5282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director ANABELL FITCHETT

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