50D2325806 CLIA NUMBER - COWLITZ INDIAN TRIBE BEHAVIORAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 50D2325806
  • Facility Name: COWLITZ INDIAN TRIBE BEHAVIORAL HEALTH SERVICES
  • Facility Address: 15455 65TH AVE S
    TUKWILA, WA
    ZIP 98188
  • Facility Phone: 360 721-5170
  • Facility Type: Other - TRIBAL BHA
  • Facility Type: Waiver
  • Lab Director: AMOS CHEN
  • NPI Number: 1225382328
  • Taxonomy: 2083P0901X - Preventive Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2325806
LAB Type Other - TRIBAL BHA
Facility Name COWLITZ INDIAN TRIBE BEHAVIORAL HEALTH SERVICES
Street 15455 65TH AVE S
City TUKWILA
State WA
ZIP 98188
Phone 360 721-5170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - TRIBAL BHA
Lab Director AMOS CHEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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