50D2294720 CLIA NUMBER - THE HERITAGE CLINIC

Laboratory Demographics

  • CLIA Code: 50D2294720
  • Facility Name: THE HERITAGE CLINIC
  • Facility Address: 1622 HOWARD ST
    WALLA WALLA, WA
    ZIP 99362
  • Facility Phone: 509 520-5520
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT MORASCH
  • NPI Number: 1669153045
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2294720
LAB Type Physician Office
Facility Name THE HERITAGE CLINIC
Street 1622 HOWARD ST
City WALLA WALLA
State WA
ZIP 99362
Phone 509 520-5520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ROBERT MORASCH

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