50D2191060 CLIA NUMBER - DIRECT IMAGING

Laboratory Demographics

  • CLIA Code: 50D2191060
  • Facility Name: DIRECT IMAGING
  • Facility Address: 6101 SUMMITVIEW AVE STE 200
    YAKIMA, WA
    ZIP 98908
  • Facility Phone: 509 902-8857
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVE S. ATTEBERRY
  • NPI Number: 1689283285
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2191060
LAB Type Physician Office
Facility Name DIRECT IMAGING
Street 6101 SUMMITVIEW AVE STE 200
City YAKIMA
State WA
ZIP 98908
Phone 509 902-8857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DR. DAVE S. ATTEBERRY

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