50D0954729 CLIA NUMBER - CONFLUENCE HEALTH - ROYAL CITY CLINIC

Laboratory Demographics

CLIA Number: 50D0954729

Facility Name: CONFLUENCE HEALTH - ROYAL CITY CLINIC

Facility Address:
103 CAMELIA ST NW
ROYAL CITY, WA
ZIP 99357
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Facility Phone Number: 509 346-1447

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1548507338

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D0954729
LAB Type	Rural Health Clinic
Facility Name	CONFLUENCE HEALTH - ROYAL CITY CLINIC
Street	103 CAMELIA ST NW
City	ROYAL CITY
State	WA
ZIP	99357
Phone	509 346-1447
CertificateType	3
CertificateEffectiveDate	9/19/2000
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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