50D2046657 CLIA NUMBER - NORTHWEST AMBULATORY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 50D2046657
  • Facility Name: NORTHWEST AMBULATORY PHYSICIANS
  • Facility Address: 1075 JADWIN AVE
    RICHLAND, WA
    ZIP 99352
  • Facility Phone: 509 946-3340
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BINGUMAL R. MANAWADU
  • NPI Number: 1508068800
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2046657
LAB Type Ambulatory Surgery Center
Facility Name NORTHWEST AMBULATORY PHYSICIANS
Street 1075 JADWIN AVE
City RICHLAND
State WA
ZIP 99352
Phone 509 946-3340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2012
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director BINGUMAL R. MANAWADU

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