50D2279127 CLIA NUMBER - TRI-CITIES DIABETES PLLC

Laboratory Demographics

  • CLIA Code: 50D2279127
  • Facility Name: TRI-CITIES DIABETES PLLC
  • Facility Address: 1305 MANSFIELD ST STE 4
    RICHLAND, WA
    ZIP 99352
  • Facility Phone: 509 946-6124
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLORIA OLSSON
  • NPI Number: 1316516073
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2279127
LAB Type Physician Office
Facility Name TRI-CITIES DIABETES PLLC
Street 1305 MANSFIELD ST STE 4
City RICHLAND
State WA
ZIP 99352
Phone 509 946-6124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director GLORIA OLSSON

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