50D2279316 CLIA NUMBER - GRANDRIDGE MEADOWS AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2279316
  • Facility Name: GRANDRIDGE MEADOWS AFH LLC
  • Facility Address: 207 N QUEBEC ST
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 430-2376
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: MARINA KORF
  • NPI Number: 1255886487
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D2279316
LAB Type Other - AFH
Facility Name GRANDRIDGE MEADOWS AFH LLC
Street 207 N QUEBEC ST
City KENNEWICK
State WA
ZIP 99336
Phone 509 430-2376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director MARINA KORF

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