50D2319006 CLIA NUMBER - OKANOGAN BEHAVIORAL HEALTHCARE

Laboratory Demographics

  • CLIA Code: 50D2319006
  • Facility Name: OKANOGAN BEHAVIORAL HEALTHCARE
  • Facility Address: 1007 KOALA DR
    OMAK, WA
    ZIP 98841
  • Facility Phone: 509 826-6191
  • Facility Type: Other - BEHAVIORAL HEALTH & SUD
  • Facility Type: Waiver
  • Lab Director: MICHAEL LONTZ
  • NPI Number: 1154324929
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 50D2319006
LAB Type Other - BEHAVIORAL HEALTH & SUD
Facility Name OKANOGAN BEHAVIORAL HEALTHCARE
Street 1007 KOALA DR
City OMAK
State WA
ZIP 98841
Phone 509 826-6191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - BEHAVIORAL HEALTH & SUD
Lab Director MICHAEL LONTZ

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