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MOSES LAKE
NPI 1003933896
Assisted Living Facility in Moses Lake, WA

Active since March 25, 2007CLIA 50D0978680 · Waiver
8425 ASPI BLVD, MOSES LAKE, WA 98837(509) 762-9115(503) 485-1279 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Moses Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSES LAKE (NPI 1003933896) is a healthcare organization registered as an assisted living facility in Moses Lake, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jon Harder, President, as its authorized official.

NPPES Registry Identity

NPI1003933896
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMOSES LAKE
Location Address8425 ASPI BLVDMoses Lake, WA 98837-3615
Mailing AddressPo Box 3006Salem, OR 97302-0006 · (503) 485-4600 · Fax (503) 485-1279
Phone(509) 762-9115
Fax(503) 485-1279
Organization SubpartNo
Authorized OfficialJon HarderPresident · (503) 485-4600
Enumeration DateMarch 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003933896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
8425 ASPI BLVD, Moses Lake, WA 98837
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0978680

Moses Lake Dialysis Unit · Moses Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D0978680
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 29, 2000
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMathew Ray
Laboratory Phone(509) 765-9123
Laboratory LocationMoses Lake Dialysis Unit847A E Broadway Ave, Moses Lake, WA 98837
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERITUS CORPORATION
Assisted Living Facility
8425 ASPI BLVD
MOSES LAKE, WA 98837
Grant County (509) 762-9115
MOSES LAKE OPERATIONS LLC
Assisted Living Facility
8425 ASPI BLVD
MOSES LAKE, WA 98837
Grant County (509) 762-9115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moses Lake's NPI number?

The NPI number for Moses Lake is 1003933896. It was assigned to this organization in the NPPES registry on March 25, 2007.

Where is Moses Lake located?

Moses Lake is located at 8425 Aspi Blvd, Moses Lake, WA 98837. The listed phone number is (509) 762-9115.

What is Moses Lake's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Moses Lake hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0978680) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moses Lake was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.