50D2096327 CLIA NUMBER - GRANDRIDGE EYE CLINIC

Laboratory Demographics

  • CLIA Code: 50D2096327
  • Facility Name: GRANDRIDGE EYE CLINIC
  • Facility Address: 7131 W DESCHUTES BLVD STE101
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 736-0710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENDAL R. PIATT
  • NPI Number: 1972725059
  • Taxonomy: 152WC0802X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2096327
LAB Type Physician Office
Facility Name GRANDRIDGE EYE CLINIC
Street 7131 W DESCHUTES BLVD STE101
City KENNEWICK
State WA
ZIP 99336
Phone 509 736-0710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director KENDAL R. PIATT

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