50D1100129 CLIA NUMBER - PASCO VISION CLINIC PS

Laboratory Demographics

  • CLIA Code: 50D1100129
  • Facility Name: PASCO VISION CLINIC PS
  • Facility Address: 2715 W COURT ST
    PASCO, WA
    ZIP 99301
  • Facility Phone: 509 547-8409
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES C. SULLIVAN
  • NPI Number: 1104851690
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D1100129
LAB Type Physician Office
Facility Name PASCO VISION CLINIC PS
Street 2715 W COURT ST
City PASCO
State WA
ZIP 99301
Phone 509 547-8409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JAMES C. SULLIVAN

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