50D1052684 CLIA NUMBER - LABORATORY CORPORATION OF AMERICA

Laboratory Demographics

  • CLIA Code: 50D1052684
  • Facility Name: LABORATORY CORPORATION OF AMERICA
  • Facility Address: 1000 WALLACE WAY
    GRANDVIEW, WA
    ZIP 98930
  • Facility Phone: 509 882-3444
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROMELL BAUTISTA
  • NPI Number: 1588151773
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D1052684
LAB Type Physician Office
Facility Name LABORATORY CORPORATION OF AMERICA
Street 1000 WALLACE WAY
City GRANDVIEW
State WA
ZIP 98930
Phone 509 882-3444
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/31/2006
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ROMELL BAUTISTA

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This page was last updated on: 6/4/2025