50D0885427 CLIA NUMBER - YAKIMA VALLEY SCHOOL

Laboratory Demographics

CLIA Number: 50D0885427

Facility Name: YAKIMA VALLEY SCHOOL

Facility Address:
609 SPEYERS ROAD
SELAH, WA
ZIP 98942
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Facility Phone Number: 509 698-1255

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1821030123

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	50D0885427
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	YAKIMA VALLEY SCHOOL
Street	609 SPEYERS ROAD
City	SELAH
State	WA
ZIP	98942
Phone	509 698-1255
CertificateType	4
CertificateEffectiveDate	4/20/1994
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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