50D0638751 CLIA NUMBER - CHEWELAH ASSOCIATED PHYSICIANS

Laboratory Demographics

  • CLIA Code: 50D0638751
  • Facility Name: CHEWELAH ASSOCIATED PHYSICIANS
  • Facility Address: 410 E KING ST
    CHEWELAH, WA
    ZIP 99109
  • Facility Phone: 509 935-8711
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS J. BOONE
  • NPI Number: 1518997543
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D0638751
LAB Type Physician Office
Facility Name CHEWELAH ASSOCIATED PHYSICIANS
Street 410 E KING ST
City CHEWELAH
State WA
ZIP 99109
Phone 509 935-8711
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 11/1/1994
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director THOMAS J. BOONE

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