50D2133683 CLIA NUMBER - NORTHVIEW MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 50D2133683
  • Facility Name: NORTHVIEW MEDICAL CLINIC
  • Facility Address: 12405 N WILSON ST
    MEAD, WA
    ZIP 99021
  • Facility Phone: 208 772-7850
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN TORQUATO

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CLIA Record

Field Name Field Value
CLIA Number 50D2133683
LAB Type Physician Office
Facility Name NORTHVIEW MEDICAL CLINIC
Street 12405 N WILSON ST
City MEAD
State WA
ZIP 99021
Phone 208 772-7850
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 7/18/2017
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOHN TORQUATO

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This page was last updated on: 6/4/2025