50D2295197 CLIA NUMBER - RESTORE HEALTH & PAIN TREATMENT GROUP

Laboratory Demographics

  • CLIA Code: 50D2295197
  • Facility Name: RESTORE HEALTH & PAIN TREATMENT GROUP
  • Facility Address: 705 GAGE BLVD STE 200
    RICHLAND, WA
    ZIP 99352
  • Facility Phone: 509 824-6080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS KINCHELOE
  • NPI Number: 1124709290
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2295197
LAB Type Physician Office
Facility Name RESTORE HEALTH & PAIN TREATMENT GROUP
Street 705 GAGE BLVD STE 200
City RICHLAND
State WA
ZIP 99352
Phone 509 824-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director THOMAS KINCHELOE

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