50D2043414 CLIA NUMBER - IDEAL OPTION

Home > CLIA Lookup > 50D2043414

Laboratory Demographics

CLIA Number: 50D2043414

Facility Name: IDEAL OPTION

Facility Address:
8508 W GAGE BLVD STE A-101
KENNEWICK, WA
ZIP 99336
Get Directions

Facility Phone Number: 877 522-1275

Facility Type: Independent

Certificate Type: Accreditation

NPI Number: 1598276628

Taxonomy: 207QA0401X - Family Medicine
A family medicine physician who specializes in the diagnosis and treatment of addictions.

CLIA Record

Field Name	Field Value
CLIA Number	50D2043414
LAB Type	Independent
Facility Name	IDEAL OPTION
Street	8508 W GAGE BLVD STE A-101
City	KENNEWICK
State	WA
ZIP	99336
Phone	877 522-1275
CertificateType	1
CertificateEffectiveDate	12/29/2014
CertificateExpirationDate	4/4/2028
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024