50D2302922 CLIA NUMBER - PACIFIC REHABILITATION CENTERS

Laboratory Demographics

  • CLIA Code: 50D2302922
  • Facility Name: PACIFIC REHABILITATION CENTERS
  • Facility Address: 821 E BROADWAY AVE
    MOSES LAKE, WA
    ZIP 98837
  • Facility Phone: 509 350-2298
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: VIJAY FRANCIS
  • NPI Number: 1104523109
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2302922
LAB Type Community Clinic
Facility Name PACIFIC REHABILITATION CENTERS
Street 821 E BROADWAY AVE
City MOSES LAKE
State WA
ZIP 98837
Phone 509 350-2298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director VIJAY FRANCIS

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