50D2314892 CLIA NUMBER - INTEGRATIVE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 50D2314892
  • Facility Name: INTEGRATIVE DERMATOLOGY
  • Facility Address: 1607 CREEKSIDE LOOP # 140
    YAKIMA, WA
    ZIP 98902
  • Facility Phone: 509 969-9076
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JEFFREY V. TROBA
  • NPI Number: 1891513651
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D2314892
LAB Type Community Clinic
Facility Name INTEGRATIVE DERMATOLOGY
Street 1607 CREEKSIDE LOOP # 140
City YAKIMA
State WA
ZIP 98902
Phone 509 969-9076
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director JEFFREY V. TROBA

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