50D0638887 CLIA NUMBER - MOSCOW PULLMAN OBGYN

Laboratory Demographics

  • CLIA Code: 50D0638887
  • Facility Name: MOSCOW PULLMAN OBGYN
  • Facility Address: SE 1205 PROF MALL BLVD, SUITE 102
    PULLMAN, WA
    ZIP 99163
  • Facility Phone: 509 334-6777
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NIGEL R. CAMPBELL
  • NPI Number: 1063582971
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 50D0638887
LAB Type Physician Office
Facility Name MOSCOW PULLMAN OBGYN
Street SE 1205 PROF MALL BLVD, SUITE 102
City PULLMAN
State WA
ZIP 99163
Phone 509 334-6777
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 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director NIGEL R. CAMPBELL

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