50D0917989 CLIA NUMBER - MID-VALLEY COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 50D0917989
  • Facility Name: MID-VALLEY COMMUNITY CLINIC
  • Facility Address: 700 ELEVENTH STREET PO BOX 957
    SUNNYSIDE, WA
    ZIP 98944
  • Facility Phone: 509 839-6822
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HARLAN D. HALMA
  • NPI Number: 1447203104
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0917989
LAB Type Physician Office
Facility Name MID-VALLEY COMMUNITY CLINIC
Street 700 ELEVENTH STREET PO BOX 957
City SUNNYSIDE
State WA
ZIP 98944
Phone 509 839-6822
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 7/30/1996
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director HARLAN D. HALMA

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