38D2309350 CLIA NUMBER - NEW LIFE WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 38D2309350
  • Facility Name: NEW LIFE WELLNESS LLC
  • Facility Address: 256 HURLBURT AVE SUITE 117
    HERMISTON, OR
    ZIP 97838
  • Facility Phone: 206 418-8222
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RANDALL KELLY
  • NPI Number: 1508463639
  • Taxonomy: 2083A0300X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2309350
LAB Type Physician Office
Facility Name NEW LIFE WELLNESS LLC
Street 256 HURLBURT AVE SUITE 117
City HERMISTON
State OR
ZIP 97838
Phone 206 418-8222
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director RANDALL KELLY

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