50D2127253 CLIA NUMBER - TROUT LAKE CLINIC NON-PROFIT SERVICES

Laboratory Demographics

  • CLIA Code: 50D2127253
  • Facility Name: TROUT LAKE CLINIC NON-PROFIT SERVICES
  • Facility Address: 2384 HIGHWAY 141
    TROUT LAKE, WA
    ZIP 98650
  • Facility Phone: 509 395-2134
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: MARSHAL F. HARPE
  • NPI Number: 1013084565
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2127253
LAB Type Rural Health Clinic
Facility Name TROUT LAKE CLINIC NON-PROFIT SERVICES
Street 2384 HIGHWAY 141
City TROUT LAKE
State WA
ZIP 98650
Phone 509 395-2134
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/10/2017
Certificate Expiration Date 4/4/2028
Facility Type Rural Health Clinic
Lab Director MARSHAL F. HARPE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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