50D2304501 CLIA NUMBER - BASALT FAMILY WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 50D2304501
  • Facility Name: BASALT FAMILY WELLNESS, LLC
  • Facility Address: 1005 S. CANYON RD
    ELLENSBURG, WA
    ZIP 98926
  • Facility Phone: 509 426-3750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MACY SCHORN
  • NPI Number: 1154198653
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2304501
LAB Type Physician Office
Facility Name BASALT FAMILY WELLNESS, LLC
Street 1005 S. CANYON RD
City ELLENSBURG
State WA
ZIP 98926
Phone 509 426-3750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MACY SCHORN

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