50D0638510 CLIA NUMBER - WILLOW SPRINGS CARE

Laboratory Demographics

  • CLIA Code: 50D0638510
  • Facility Name: WILLOW SPRINGS CARE
  • Facility Address: 4007 TIETON DR
    YAKIMA, WA
    ZIP 98908
  • Facility Phone: 509 966-4500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MIGUEL C. AVILA
  • NPI Number: 1609835990
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0638510
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLOW SPRINGS CARE
Street 4007 TIETON DR
City YAKIMA
State WA
ZIP 98908
Phone 509 966-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MIGUEL C. AVILA

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