50D2081255 CLIA NUMBER - KENNEWICK ANS BRANCH ALTERNATIVE NURSING SERVICES

Laboratory Demographics

  • CLIA Code: 50D2081255
  • Facility Name: KENNEWICK ANS BRANCH ALTERNATIVE NURSING SERVICES
  • Facility Address: 3311 W CLEARWATER AVE STE B110
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 208 746-3050
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAVETTE KELLER
  • NPI Number: 1629110564
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2081255
LAB Type Home Health Agency
Facility Name KENNEWICK ANS BRANCH ALTERNATIVE NURSING SERVICES
Street 3311 W CLEARWATER AVE STE B110
City KENNEWICK
State WA
ZIP 99336
Phone 208 746-3050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2014
Certificate Expiration Date 4/4/2028
Facility Type Home Health Agency
Lab Director DAVETTE KELLER

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