50D2313099 CLIA NUMBER - MOUNTJOY ADULT FAMILY HOME LLC

Laboratory Demographics

  • CLIA Code: 50D2313099
  • Facility Name: MOUNTJOY ADULT FAMILY HOME LLC
  • Facility Address: 412 NW 46TH ST
    VANCOUVER, WA
    ZIP 98663
  • Facility Phone: 360 566-8360
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: MARYNELA MOUNTJOY

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CLIA Record

Field Name Field Value
CLIA Number 50D2313099
LAB Type Other - AFH
Facility Name MOUNTJOY ADULT FAMILY HOME LLC
Street 412 NW 46TH ST
City VANCOUVER
State WA
ZIP 98663
Phone 360 566-8360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director MARYNELA MOUNTJOY

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This page was last updated on: 6/4/2025