50D0673703 CLIA NUMBER - PALOUSE MEDICAL, PS

Laboratory Demographics

  • CLIA Code: 50D0673703
  • Facility Name: PALOUSE MEDICAL, PS
  • Facility Address: 825 SE BISHOP BLVD STE 200
    PULLMAN, WA
    ZIP 99163
  • Facility Phone: (509) 334-7857
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KASSANDRA TRICOLA
  • NPI Number: 1548299696
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0673703
LAB Type Physician Office
Facility Name PALOUSE MEDICAL, PS
Street 825 SE BISHOP BLVD STE 200
City PULLMAN
State WA
ZIP 99163
Phone 5093347857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director KASSANDRA TRICOLA

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This page was last updated on: 5/18/2026