50D2130193 CLIA NUMBER - ASTRIA HEALTH CLINIC BIRCH STREET

Laboratory Demographics

CLIA Number: 50D2130193

Facility Name: ASTRIA HEALTH CLINIC BIRCH STREET

Facility Address:
222 E SECOND ST
SUNNYSIDE, WA
ZIP 98944
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Facility Phone Number: 509 203-6501

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1740289560

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D2130193
LAB Type	Rural Health Clinic
Facility Name	ASTRIA HEALTH CLINIC BIRCH STREET
Street	222 E SECOND ST
City	SUNNYSIDE
State	WA
ZIP	98944
Phone	509 203-6501
CertificateType	4
CertificateEffectiveDate	5/3/2017
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024