50D2135620 CLIA NUMBER - PATHOLOGISTS REGIONAL LABORATORY TRISTATE HEALTH LAB TRI STATE MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 50D2135620
  • Facility Name: PATHOLOGISTS REGIONAL LABORATORY TRISTATE HEALTH LAB TRI STATE MEMORIAL HOSPITAL
  • Facility Address: 1221 HIGHLAND AVE
    CLARKSTON, WA
    ZIP 99403
  • Facility Phone: 509 751-4550
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: REBECCA FULTON
  • NPI Number: 1639481674
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D2135620
LAB Type Independent
Facility Name PATHOLOGISTS REGIONAL LABORATORY TRISTATE HEALTH LAB TRI STATE MEMORIAL HOSPITAL
Street 1221 HIGHLAND AVE
City CLARKSTON
State WA
ZIP 99403
Phone 509 751-4550
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/24/2017
Certificate Expiration Date 4/4/2028
Facility Type Independent
Lab Director REBECCA FULTON

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