50D0699610 CLIA NUMBER - CHEHALIS CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 50D0699610
  • Facility Name: CHEHALIS CHILDRENS CLINIC
  • Facility Address: 370 S MARKET BLVD
    CHEHALIS, WA
    ZIP 98532
  • Facility Phone: 360 748-6693
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONRAD R. LEPROWSE
  • NPI Number: 1609957612
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0699610
LAB Type Physician Office
Facility Name CHEHALIS CHILDRENS CLINIC
Street 370 S MARKET BLVD
City CHEHALIS
State WA
ZIP 98532
Phone 360 748-6693
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/1994
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director CONRAD R. LEPROWSE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025