50D2234517 CLIA NUMBER - ENTIAT SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 50D2234517
  • Facility Name: ENTIAT SCHOOL DISTRICT
  • Facility Address: 2650 ENTIAT WAY
    ENTIAT, WA
    ZIP 98822
  • Facility Phone: 509 888-5176
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KELSEY TOLLACKSON
  • NPI Number: 1700816766
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2234517
LAB Type School/Student Health Service
Facility Name ENTIAT SCHOOL DISTRICT
Street 2650 ENTIAT WAY
City ENTIAT
State WA
ZIP 98822
Phone 509 888-5176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2021
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director KELSEY TOLLACKSON

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