50D2319025 CLIA NUMBER - PEACEFUL HILLSIDE AFH

Laboratory Demographics

  • CLIA Code: 50D2319025
  • Facility Name: PEACEFUL HILLSIDE AFH
  • Facility Address: 22304 NE HILLSIDE DR
    VANCOUVER, WA
    ZIP 98682
  • Facility Phone: 360 944-3088
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LYUBOV KOVALCHUK
  • NPI Number: 1427933407
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 50D2319025
LAB Type Assisted Living Facility
Facility Name PEACEFUL HILLSIDE AFH
Street 22304 NE HILLSIDE DR
City VANCOUVER
State WA
ZIP 98682
Phone 360 944-3088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director LYUBOV KOVALCHUK

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