50D2028368 CLIA NUMBER - THREE RIVERS EYE CARE

Laboratory Demographics

  • CLIA Code: 50D2028368
  • Facility Name: THREE RIVERS EYE CARE
  • Facility Address: 209 W MAIN ST STE 100
    KELSO, WA
    ZIP 98626
  • Facility Phone: (360) 414-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD W. LUALAINEN
  • NPI Number: 1104094143
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2028368
LAB Type Physician Office
Facility Name THREE RIVERS EYE CARE
Street 209 W MAIN ST STE 100
City KELSO
State WA
ZIP 98626
Phone 3604148000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2012
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director EDWARD W. LUALAINEN

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This page was last updated on: 5/18/2026