50D2223194 CLIA NUMBER - RIVERSIDE SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 50D2223194
  • Facility Name: RIVERSIDE SCHOOL DISTRICT
  • Facility Address: 34515 N NEWPORT HWY
    CHATTAROY, WA
    ZIP 99003
  • Facility Phone: 509 291-3695
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: RYAN BODECKER
  • NPI Number: 1538254701
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2223194
LAB Type School/Student Health Service
Facility Name RIVERSIDE SCHOOL DISTRICT
Street 34515 N NEWPORT HWY
City CHATTAROY
State WA
ZIP 99003
Phone 509 291-3695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2021
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director RYAN BODECKER

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