50D2257276 CLIA NUMBER - ATOMIC DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 50D2257276
  • Facility Name: ATOMIC DERMATOLOGY, LLC
  • Facility Address: 9221 SANDIFUR PKWY STE A
    PASCO, WA
    ZIP 99301
  • Facility Phone: 509 233-7546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICKI HAINES
  • NPI Number: 1770009706
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2257276
LAB Type Physician Office
Facility Name ATOMIC DERMATOLOGY, LLC
Street 9221 SANDIFUR PKWY STE A
City PASCO
State WA
ZIP 99301
Phone 509 233-7546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2022
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director VICKI HAINES

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