50D2165539 CLIA NUMBER - COMPASSION FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 50D2165539

Facility Name: COMPASSION FAMILY MEDICINE

Facility Address:
3810 KERN WAY STE B
YAKIMA, WA
ZIP 98902
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Facility Phone Number: 509 823-0550

Facility Type: Other - CLINIC

Certificate Type: Waiver

NPI Number: 1447719703

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D2165539
LAB Type	Other - CLINIC
Facility Name	COMPASSION FAMILY MEDICINE
Street	3810 KERN WAY STE B
City	YAKIMA
State	WA
ZIP	98902
Phone	509 823-0550
CertificateType	4
CertificateEffectiveDate	4/30/2019
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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