50D1014704 CLIA NUMBER - COLUMBIA VALLEY COMMUNITY HEALTH

Laboratory Demographics

CLIA Number: 50D1014704

Facility Name: COLUMBIA VALLEY COMMUNITY HEALTH

Facility Address:
600 ORONDO AVE STE 1
WENATCHEE, WA
ZIP 98801
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Facility Phone Number: 509 662-6000

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1487650636

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D1014704
LAB Type	Community Clinic
Facility Name	COLUMBIA VALLEY COMMUNITY HEALTH
Street	600 ORONDO AVE STE 1
City	WENATCHEE
State	WA
ZIP	98801
Phone	509 662-6000
CertificateType	4
CertificateEffectiveDate	4/17/2015
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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