50D2292684 CLIA NUMBER - TRI-CITIES PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 50D2292684
  • Facility Name: TRI-CITIES PRIMARY CARE
  • Facility Address: 8503 W CLEARWATER AVE STE B
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 581-0852
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON ENGLAND
  • NPI Number: 1922704170
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2292684
LAB Type Physician Office
Facility Name TRI-CITIES PRIMARY CARE
Street 8503 W CLEARWATER AVE STE B
City KENNEWICK
State WA
ZIP 99336
Phone 509 581-0852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JASON ENGLAND

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