50D0638690 CLIA NUMBER - EMERALD CARE

Laboratory Demographics

  • CLIA Code: 50D0638690
  • Facility Name: EMERALD CARE
  • Facility Address: 209 N AHTANUM AVE
    WAPATO, WA
    ZIP 98951
  • Facility Phone: 509 877-3175
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ELAINE HISSAM
  • NPI Number: 1851386122
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0638690
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EMERALD CARE
Street 209 N AHTANUM AVE
City WAPATO
State WA
ZIP 98951
Phone 509 877-3175
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 ELAINE HISSAM

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