05D0573161 CLIA NUMBER - MOUNTJOY, DENNIS G, MD

Laboratory Demographics

CLIA Number: 05D0573161

Facility Name: MOUNTJOY, DENNIS G, MD

Facility Address:
1271 HIGHLAND SUITE A
CLARKSTON, WA
ZIP 99403
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Facility Phone Number: (509) 758-2343

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D0573161
LAB Type	PHYSICIAN OFFICE
Facility Name	MOUNTJOY, DENNIS G, MD
Street	1271 HIGHLAND SUITE A
City	CLARKSTON
State	WA
ZIP	99403
Phone	(509) 758-2343

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This page was last updated on: 5/11/2023