50D0661590 CLIA NUMBER - NORTH BASIN MEDICAL CLINICS - WILBUR CLINIC

Laboratory Demographics

  • CLIA Code: 50D0661590
  • Facility Name: NORTH BASIN MEDICAL CLINICS - WILBUR CLINIC
  • Facility Address: 214 SW MAIN ST
    WILBUR, WA
    ZIP 99185
  • Facility Phone: 509 647-5321
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: PATTY PEBLES

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CLIA Record

Field Name Field Value
CLIA Number 50D0661590
LAB Type Rural Health Clinic
Facility Name NORTH BASIN MEDICAL CLINICS - WILBUR CLINIC
Street 214 SW MAIN ST
City WILBUR
State WA
ZIP 99185
Phone 509 647-5321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2020
Certificate Expiration Date 4/4/2028
Facility Type Rural Health Clinic
Lab Director PATTY PEBLES

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This page was last updated on: 6/4/2025