50D0875988 CLIA NUMBER - SAMARITAN CLINIC

Laboratory Demographics

CLIA Number: 50D0875988

Facility Name: SAMARITAN CLINIC

Facility Address:
1550 S PIONEER WAY, SUITE 115
MOSES LAKE, WA
ZIP 98837
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Facility Phone Number: 509 764-2925

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1376504803

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	50D0875988
LAB Type	Physician Office
Facility Name	SAMARITAN CLINIC
Street	1550 S PIONEER WAY, SUITE 115
City	MOSES LAKE
State	WA
ZIP	98837
Phone	509 764-2925
CertificateType	3
CertificateEffectiveDate	9/17/1998
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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This page was last updated on: 4/23/2024