50D0882363 CLIA NUMBER - WASHTUCNA MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 50D0882363

Facility Name: WASHTUCNA MEDICAL CLINIC

Facility Address:
545 SE CHURCH STREET
WASHTUCNA, WA
ZIP 99371
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Facility Phone Number: 509 646-3290

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1104849058

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	50D0882363
LAB Type	Rural Health Clinic
Facility Name	WASHTUCNA MEDICAL CLINIC
Street	545 SE CHURCH STREET
City	WASHTUCNA
State	WA
ZIP	99371
Phone	509 646-3290
CertificateType	4
CertificateEffectiveDate	6/21/2011
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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