50D0919800 CLIA NUMBER - PALOUSE UROLOGY CENTER

Laboratory Demographics

  • CLIA Code: 50D0919800
  • Facility Name: PALOUSE UROLOGY CENTER
  • Facility Address: 825 SE BISHOP BLVD STE 101
    PULLMAN, WA
    ZIP 99163
  • Facility Phone: 509 332-3499
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN J. KEIZUR
  • NPI Number: 1124155437
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 50D0919800
LAB Type Physician Office
Facility Name PALOUSE UROLOGY CENTER
Street 825 SE BISHOP BLVD STE 101
City PULLMAN
State WA
ZIP 99163
Phone 509 332-3499
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 9/17/1996
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOHN J. KEIZUR

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