50D2181846 CLIA NUMBER - YAKIMA VALLEY URGENT CARE

Laboratory Demographics

CLIA Number: 50D2181846

Facility Name: YAKIMA VALLEY URGENT CARE

Facility Address:
1006 S 64TH AVE STE 100
YAKIMA, WA
ZIP 98908
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Facility Phone Number: 509 955-9248

Facility Type: Other - CLINIC

Certificate Type: Waiver

NPI Number: 1568719359

Taxonomy: 3336C0002X - Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	50D2181846
LAB Type	Other - CLINIC
Facility Name	YAKIMA VALLEY URGENT CARE
Street	1006 S 64TH AVE STE 100
City	YAKIMA
State	WA
ZIP	98908
Phone	509 955-9248
CertificateType	4
CertificateEffectiveDate	4/13/2020
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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