50D2293460 CLIA NUMBER - ONE COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 50D2293460
  • Facility Name: ONE COMMUNITY HEALTH
  • Facility Address: 65371 WA-14
    WHITE SALMON, WA
    ZIP 98672
  • Facility Phone: (509) 493-2133
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: TROY WITHERRITE
  • NPI Number: 1376221259
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2293460
LAB Type Federally Qualified Health Center
Facility Name ONE COMMUNITY HEALTH
Street 65371 WA-14
City WHITE SALMON
State WA
ZIP 98672
Phone 5094932133
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

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This page was last updated on: 5/18/2026