50D0875988 CLIA NUMBER - SAMARITAN CLINIC

Laboratory Demographics

  • CLIA Code: 50D0875988
  • Facility Name: SAMARITAN CLINIC
  • Facility Address: 1550 S PIONEER WAY, SUITE 115
    MOSES LAKE, WA
    ZIP 98837
  • Facility Phone: 509 764-2925
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREA CARTER
  • NPI Number: 1376504803
  • Taxonomy: 2085R0202X - Radiology

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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
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 9/17/1998
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ANDREA CARTER

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