50D2160933 CLIA NUMBER - LOURDES INTERNAL MEDICINE AND PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 50D2160933
  • Facility Name: LOURDES INTERNAL MEDICINE AND PRIMARY CARE
  • Facility Address: 7425 WRIGLEY DR STE 101
    PASCO, WA
    ZIP 99301
  • Facility Phone: 509 416-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAUREL AVILA
  • NPI Number: 1053775841
  • Taxonomy: 284300000X - Special Hospital

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CLIA Record

Field Name Field Value
CLIA Number 50D2160933
LAB Type Physician Office
Facility Name LOURDES INTERNAL MEDICINE AND PRIMARY CARE
Street 7425 WRIGLEY DR STE 101
City PASCO
State WA
ZIP 99301
Phone 509 416-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2019
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director LAUREL AVILA

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