50D2293459 CLIA NUMBER - ONE COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 50D2293459
  • Facility Name: ONE COMMUNITY HEALTH
  • Facility Address: 875 SW ROCK CREEK DR
    STEVENSON, WA
    ZIP 98648
  • Facility Phone: 509 472-4212
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: TROY WITHERRITE
  • NPI Number: 1871271783
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2293459
LAB Type Federally Qualified Health Center
Facility Name ONE COMMUNITY HEALTH
Street 875 SW ROCK CREEK DR
City STEVENSON
State WA
ZIP 98648
Phone 509 472-4212
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 4/4/2028
Facility Type Federally Qualified Health Center
Lab Director TROY WITHERRITE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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