50D2312772 CLIA NUMBER - WEEPING RIDGE WEST, INC

Laboratory Demographics

  • CLIA Code: 50D2312772
  • Facility Name: WEEPING RIDGE WEST, INC
  • Facility Address: 2455 W BENCH RD LOT B
    OTHELLO, WA
    ZIP 99344
  • Facility Phone: 509 989-1843
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: ISRAEL RODRIGUEZ
  • NPI Number: 1366866626
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2312772
LAB Type Other - AFH
Facility Name WEEPING RIDGE WEST, INC
Street 2455 W BENCH RD LOT B
City OTHELLO
State WA
ZIP 99344
Phone 509 989-1843
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director ISRAEL RODRIGUEZ

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This page was last updated on: 3/20/2025