50D2304968 CLIA NUMBER - UPPER COUNTY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 50D2304968
  • Facility Name: UPPER COUNTY PRIMARY CARE
  • Facility Address: 112 W RAILROAD ST STE 2
    CLE ELUM, WA
    ZIP 98922
  • Facility Phone: 509 241-8003
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BOBBI BEARD
  • NPI Number: 1639941156
  • Taxonomy: 363LG0600X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2304968
LAB Type Community Clinic
Facility Name UPPER COUNTY PRIMARY CARE
Street 112 W RAILROAD ST STE 2
City CLE ELUM
State WA
ZIP 98922
Phone 509 241-8003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director BOBBI BEARD

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