PACIFIC CLINICAL SERVICES PLLC
NPI 1124787635
Clinic/Center - Health Service in Vancouver, WA

NPI Status: Active since December 12, 2021

Contact Information

3801 MAIN ST STE A
VANCOUVER, WA
ZIP 98663
Phone: (360) 787-4777
Fax: (360) 857-0500

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 50D2255705
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About PACIFIC CLINICAL SERVICES PLLC

This page provides the complete NPI Profile along with additional information for Pacific Clinical Services Pllc, a provider established in Vancouver, Washington operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1124787635 assigned on December 2021. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Janet Coleman Rph (Pharmacist / Member)

NPI
1124787635
Provider Name
PACIFIC CLINICAL SERVICES PLLC
Entity Type
Organization
Location Address
3801 MAIN ST STE A VANCOUVER, WA 98663
Location Phone
(360) 787-4777
Location Fax
(360) 857-0500
Mailing Address
PO BOX 2206 WOODLAND, WA 98674
Mailing Phone
(360) 787-4777
Mailing Fax
(360) 857-0500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2021
Last Update Date
12-12-2021
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANET COLEMAN RPH

Authorized Official Title
PHARMACIST / MEMBER
Authorized Official Phone
(360) 787-4777

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
50D2255705
Facility Type
Community Clinic
Certificate Effective Date
March 16, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
JANET COLEMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pacific Clinical Services Pllc 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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124787635, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 7 → 14 → 5 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 4 + 8 + 1 + 4 + 6 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124787635.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
3801 MAIN ST STE A
VANCOUVER, WA 98663
Pharmacist
3801 MAIN ST STE A
VANCOUVER, WA 98663

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124787635, enumerated as an "organization" on December 12, 2021.

The provider is located at 3801 MAIN ST STE A VANCOUVER, WA 98663 and the phone number is (360) 787-4777.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.