50D0697643 CLIA NUMBER - PULLMAN FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D0697643
  • Facility Name: PULLMAN FAMILY MEDICINE
  • Facility Address: 915 NE VALLEY RD
    PULLMAN, WA
    ZIP 99163
  • Facility Phone: 509 332-3548
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIMBERLY A. GUIDA
  • NPI Number: 1821003237
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D0697643
LAB Type Physician Office
Facility Name PULLMAN FAMILY MEDICINE
Street 915 NE VALLEY RD
City PULLMAN
State WA
ZIP 99163
Phone 509 332-3548
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 1/11/2010
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director KIMBERLY A. GUIDA

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