50D0710348 CLIA NUMBER - LOURDES WEST PASCO FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D0710348
  • Facility Name: LOURDES WEST PASCO FAMILY MEDICINE
  • Facility Address: 7425 WRIGLEY DR STE 100
    PASCO, WA
    ZIP 99301
  • Facility Phone: 509 416-8888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAUREL AVILA
  • NPI Number: 1326472234
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0710348
LAB Type Physician Office
Facility Name LOURDES WEST PASCO FAMILY MEDICINE
Street 7425 WRIGLEY DR STE 100
City PASCO
State WA
ZIP 99301
Phone 509 416-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2019
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director LAUREL AVILA

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