50D2050977 CLIA NUMBER - YAKIMA HEALTH DISTRICT

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Laboratory Demographics

CLIA Number: 50D2050977

Facility Name: YAKIMA HEALTH DISTRICT

Facility Address:
1210 AHTANUM RIDGE DR
YAKIMA, WA
ZIP 98903
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Facility Phone Number: 509 575-4040

Facility Type: Other - SPECIAL PURPOSE DISTRICT

Certificate Type: Waiver

NPI Number: 1396142816

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	50D2050977
LAB Type	Other - SPECIAL PURPOSE DISTRICT
Facility Name	YAKIMA HEALTH DISTRICT
Street	1210 AHTANUM RIDGE DR
City	YAKIMA
State	WA
ZIP	98903
Phone	509 575-4040
CertificateType	4
CertificateEffectiveDate	4/17/2018
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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