50D2318560 CLIA NUMBER - THREE RIVERS PLACE

Laboratory Demographics

  • CLIA Code: 50D2318560
  • Facility Name: THREE RIVERS PLACE
  • Facility Address: 1108 W 5TH AVE
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 582-0207
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LAURA SAMUEL
  • NPI Number: 1366406597
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 50D2318560
LAB Type Assisted Living Facility
Facility Name THREE RIVERS PLACE
Street 1108 W 5TH AVE
City KENNEWICK
State WA
ZIP 99336
Phone 509 582-0207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director LAURA SAMUEL

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