50D1005052 CLIA NUMBER - GRACE CLINIC

Laboratory Demographics

  • CLIA Code: 50D1005052
  • Facility Name: GRACE CLINIC
  • Facility Address: 800 W CANAL DR
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: (509) 735-2300
  • Facility Type: Ambulance
  • Facility Type: Microscopy
  • Lab Director: KATHRYN BRAULT
  • NPI Number: 1407670839
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D1005052
LAB Type Ambulance
Facility Name GRACE CLINIC
Street 800 W CANAL DR
City KENNEWICK
State WA
ZIP 99336
Phone 5097352300
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 10/14/2002
Certificate Expiration Date 4/4/2028
Facility Type Ambulance
Lab Director KATHRYN BRAULT

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This page was last updated on: 5/18/2026