50D0988118 CLIA NUMBER - JONATHAN M WAINWRIGHT MEMORIAL VAMC

Laboratory Demographics

  • CLIA Code: 50D0988118
  • Facility Name: JONATHAN M WAINWRIGHT MEMORIAL VAMC
  • Facility Address: 77 WAINWRIGHT DR BLDG 86 RM 157
    WALLA WALLA, WA
    ZIP 99362
  • Facility Phone: 509 525-5200
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: ERIC GORANSON
  • NPI Number: 1548738800
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 50D0988118
LAB Type Hospital
Facility Name JONATHAN M WAINWRIGHT MEMORIAL VAMC
Street 77 WAINWRIGHT DR BLDG 86 RM 157
City WALLA WALLA
State WA
ZIP 99362
Phone 509 525-5200
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/20/2001
Certificate Expiration Date 5/22/2026
Facility Type Hospital
Lab Director ERIC GORANSON

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