50D2326951 CLIA NUMBER - COLVILLE VISION SOURCE

Laboratory Demographics

  • CLIA Code: 50D2326951
  • Facility Name: COLVILLE VISION SOURCE
  • Facility Address: 102 S OAK ST
    COLVILLE, WA
    ZIP 99114
  • Facility Phone: 509 684-5278
  • Facility Type: Other - OPTOMETRY CLINIC
  • Facility Type: Waiver
  • Lab Director: ELIZABETH PETERS
  • NPI Number: 1427557198
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 50D2326951
LAB Type Other - OPTOMETRY CLINIC
Facility Name COLVILLE VISION SOURCE
Street 102 S OAK ST
City COLVILLE
State WA
ZIP 99114
Phone 509 684-5278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - OPTOMETRY CLINIC
Lab Director ELIZABETH PETERS

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