AVAMERE AT MOSES LAKE
NPI 1063908556
Assisted Living Facility in Moses Lake, WA
- Organization
- Assisted Living Facility
- CLIA Number: 50D2162780
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 04-04-2028
About AVAMERE AT MOSES LAKE
This page provides the complete NPI Profile along with additional information for Avamere At Moses Lake, a provider established in Moses Lake, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1063908556 assigned on July 2018. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Avamere At Moses Lake. The authorized official of this NPI record is Chris Olson (Paralegal)
- NPI
- 1063908556 Verify this NPI
- Provider Legal Name
- MOSES LAKE OPERATIONS LLC
- Other Organization Name
- AVAMERE AT MOSES LAKE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8425 ASPI BLVD MOSES LAKE, WA 98837
- Location Phone
- (509) 762-9115
- Mailing Address
- 25117 SW PARKWAY AVE STE F WILSONVILLE, OR 97070
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-08-2018
- Last Update Date
- 07-08-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2162780
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- February 28, 2019
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JODI MONTOYA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Avamere At Moses Lake to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063908556, enumerated as an "organization" on July 08, 2018.
The provider is located at 8425 ASPI BLVD MOSES LAKE, WA 98837 and the phone number is (509) 762-9115.
Assisted Living Facility with taxonomy code 310400000X.
