50D2272718 CLIA NUMBER - CARPENTER HEALTH PLLC

Laboratory Demographics

  • CLIA Code: 50D2272718
  • Facility Name: CARPENTER HEALTH PLLC
  • Facility Address: 1268 BRIDGE ST
    CLARKSTON, WA
    ZIP 99403
  • Facility Phone: 509 758-9524
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TODD CARPENTER
  • NPI Number: 1427776319
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2272718
LAB Type Community Clinic
Facility Name CARPENTER HEALTH PLLC
Street 1268 BRIDGE ST
City CLARKSTON
State WA
ZIP 99403
Phone 509 758-9524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2022
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director TODD CARPENTER

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This page was last updated on: 6/4/2025