50D2097758 CLIA NUMBER - WEAVER FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2097758
  • Facility Name: WEAVER FAMILY MEDICINE
  • Facility Address: 2935 ALLEN RD
    SUNNYSIDE, WA
    ZIP 98944
  • Facility Phone: 509 837-0070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEREK S. WEAVER
  • NPI Number: 1982081485
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2097758
LAB Type Physician Office
Facility Name WEAVER FAMILY MEDICINE
Street 2935 ALLEN RD
City SUNNYSIDE
State WA
ZIP 98944
Phone 509 837-0070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DEREK S. WEAVER

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