50D1098033 CLIA NUMBER - MEMORIAL CORNERSTONE MEDICINE

Laboratory Demographics

  • CLIA Code: 50D1098033
  • Facility Name: MEMORIAL CORNERSTONE MEDICINE
  • Facility Address: 4003 CREEKSIDE LOOP
    YAKIMA, WA
    ZIP 98908
  • Facility Phone: 509 248-3263
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSS W. BETHEL
  • NPI Number: 1912203761
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1098033
LAB Type Physician Office
Facility Name MEMORIAL CORNERSTONE MEDICINE
Street 4003 CREEKSIDE LOOP
City YAKIMA
State WA
ZIP 98908
Phone 509 248-3263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2009
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ROSS W. BETHEL

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