50D2257093 CLIA NUMBER - COLLEGE PLACE HEALTH CLINIC COLUMBIA COUNTY HOSPITAL DISTRICT

Laboratory Demographics

  • CLIA Code: 50D2257093
  • Facility Name: COLLEGE PLACE HEALTH CLINIC COLUMBIA COUNTY HOSPITAL DISTRICT
  • Facility Address: 295 S COLLEGE AVE STE 1
    COLLEGE PLACE, WA
    ZIP 99324
  • Facility Phone: 509 382-8349
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JON RITTENBACK
  • NPI Number: 1497857676
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2257093
LAB Type Community Clinic
Facility Name COLLEGE PLACE HEALTH CLINIC COLUMBIA COUNTY HOSPITAL DISTRICT
Street 295 S COLLEGE AVE STE 1
City COLLEGE PLACE
State WA
ZIP 99324
Phone 509 382-8349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2022
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director JON RITTENBACK

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