50D2253546 CLIA NUMBER - NORTHWEST CLINICAL SERVICES INC

Laboratory Demographics

  • CLIA Code: 50D2253546
  • Facility Name: NORTHWEST CLINICAL SERVICES INC
  • Facility Address: 825 SE BISHOP BLVD STE 301C
    PULLMAN, WA
    ZIP 99163
  • Facility Phone: 509 332-4608
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: WILLIAM EDWARD
  • NPI Number: 1154745735
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2253546
LAB Type Community Clinic
Facility Name NORTHWEST CLINICAL SERVICES INC
Street 825 SE BISHOP BLVD STE 301C
City PULLMAN
State WA
ZIP 99163
Phone 509 332-4608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2022
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director WILLIAM EDWARD

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