50D2112026 CLIA NUMBER - KITTITAS VALLEY URGENT CARE

Laboratory Demographics

  • CLIA Code: 50D2112026
  • Facility Name: KITTITAS VALLEY URGENT CARE
  • Facility Address: 702 E MOUNTAIN VIEW AVE STE 1
    ELLENSBURG, WA
    ZIP 98926
  • Facility Phone: 509 968-5273
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PAUL D. WOOD
  • NPI Number: 1194747774
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2112026
LAB Type Community Clinic
Facility Name KITTITAS VALLEY URGENT CARE
Street 702 E MOUNTAIN VIEW AVE STE 1
City ELLENSBURG
State WA
ZIP 98926
Phone 509 968-5273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2016
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director PAUL D. WOOD

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This page was last updated on: 3/20/2025