50D0638453 CLIA NUMBER - YAKIMA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 50D0638453
  • Facility Name: YAKIMA PEDIATRICS
  • Facility Address: 402 S 12TH AVE
    YAKIMA, WA
    ZIP 98902
  • Facility Phone: 509 575-0114
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DIDI EBERT
  • NPI Number: 1588110464
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D0638453
LAB Type Community Clinic
Facility Name YAKIMA PEDIATRICS
Street 402 S 12TH AVE
City YAKIMA
State WA
ZIP 98902
Phone 509 575-0114
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/13/1998
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director DIDI EBERT

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