50D1016949 CLIA NUMBER - TRI CITIES CBOC

Laboratory Demographics

  • CLIA Code: 50D1016949
  • Facility Name: TRI CITIES CBOC
  • Facility Address: 825 JADWIN AVE
    RICHLAND, WA
    ZIP 99352
  • Facility Phone: 509 946-1020
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ERIC GORANSON
  • NPI Number: 1053893917
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D1016949
LAB Type Community Clinic
Facility Name TRI CITIES CBOC
Street 825 JADWIN AVE
City RICHLAND
State WA
ZIP 99352
Phone 509 946-1020
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 9/12/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director ERIC GORANSON

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