50D2319394 CLIA NUMBER - EVERGREEN ELDER CARE AFH

Laboratory Demographics

  • CLIA Code: 50D2319394
  • Facility Name: EVERGREEN ELDER CARE AFH
  • Facility Address: 11910 NE 46TH ST
    VANCOUVER, WA
    ZIP 98682
  • Facility Phone: 443 856-7004
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: VICTORIA SCURTU
  • NPI Number: 1184051054
  • Taxonomy: 122400000X - Denturist

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CLIA Record

Field Name Field Value
CLIA Number 50D2319394
LAB Type Other - AFH
Facility Name EVERGREEN ELDER CARE AFH
Street 11910 NE 46TH ST
City VANCOUVER
State WA
ZIP 98682
Phone 443 856-7004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director VICTORIA SCURTU

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