50D2255369 CLIA NUMBER - BADGER MOUNTAIN ADULT FAMILY HOME

Laboratory Demographics

  • CLIA Code: 50D2255369
  • Facility Name: BADGER MOUNTAIN ADULT FAMILY HOME
  • Facility Address: 1756 SILVER CT
    RICHLAND, WA
    ZIP 99352
  • Facility Phone: 509 572-5584
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: OSHA ROBERTS
  • NPI Number: 1770973133
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D2255369
LAB Type Assisted Living Facility
Facility Name BADGER MOUNTAIN ADULT FAMILY HOME
Street 1756 SILVER CT
City RICHLAND
State WA
ZIP 99352
Phone 509 572-5584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2022
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director OSHA ROBERTS

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