50D2299641 CLIA NUMBER - CLE ELUM - ROSLYN SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 50D2299641
  • Facility Name: CLE ELUM - ROSLYN SCHOOL DISTRICT
  • Facility Address: 4244 BULLFROG RD
    CLE ELUM, WA
    ZIP 98922
  • Facility Phone: 509 649-4900
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: RACHEL HENDERSON
  • NPI Number: 1578847620
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 50D2299641
LAB Type School/Student Health Service
Facility Name CLE ELUM - ROSLYN SCHOOL DISTRICT
Street 4244 BULLFROG RD
City CLE ELUM
State WA
ZIP 98922
Phone 509 649-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director RACHEL HENDERSON

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