50D1003649 CLIA NUMBER - REPUBLIC MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 50D1003649
  • Facility Name: REPUBLIC MEDICAL CLINIC
  • Facility Address: 10 ROS CIRCLE
    REPUBLIC, WA
    ZIP 99166
  • Facility Phone: 509 775-3153
  • Facility Type: Ambulance
  • Facility Type: Microscopy
  • Lab Director: FARHAD ALRASHEDY, MD
  • NPI Number: 1932278827
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1003649
LAB Type Ambulance
Facility Name REPUBLIC MEDICAL CLINIC
Street 10 ROS CIRCLE
City REPUBLIC
State WA
ZIP 99166
Phone 509 775-3153
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 9/6/2002
Certificate Expiration Date 4/4/2028
Facility Type Ambulance
Lab Director FARHAD ALRASHEDY, MD

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