50D0638587 CLIA NUMBER - NACHES MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 50D0638587

Facility Name: NACHES MEDICAL CLINIC

Facility Address:
102 E 2ND ST
NACHES, WA
ZIP 98937
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Facility Phone Number: 509 653-2235

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1578775631

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 50D0638587
LAB Type Physician Office
Facility Name NACHES MEDICAL CLINIC
Street 102 E 2ND ST
City NACHES
State WA
ZIP 98937
Phone 509 653-2235
CertificateType 3
CertificateEffectiveDate 9/1/1992
CertificateExpirationDate 4/4/2028
FacilityType PPMP

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This page was last updated on: 4/23/2024