50D2100164 CLIA NUMBER - SATURN CLINIC

Laboratory Demographics

  • CLIA Code: 50D2100164
  • Facility Name: SATURN CLINIC
  • Facility Address: 150 S ELM ST
    COLVILLE, WA
    ZIP 99114
  • Facility Phone: 509 684-3584
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY BACHKO
  • NPI Number: 1174905376
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2100164
LAB Type Practitioner Other
Facility Name SATURN CLINIC
Street 150 S ELM ST
City COLVILLE
State WA
ZIP 99114
Phone 509 684-3584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2015
Certificate Expiration Date 4/4/2028
Facility Type Practitioner Other
Lab Director MARY BACHKO

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