PATHOLOGISTS REGIONAL LABORATORY
NPI 1639481674
Clinical Medical Laboratory in Clarkston, WA

Active since July 07, 2010CLIA 50D2135620 · Accreditation
1225 HIGHLAND AVE, CLARKSTON, WA 99403(509) 758-4652 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pathologists Regional Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHOLOGISTS REGIONAL LABORATORY (NPI 1639481674) is a healthcare organization registered as a clinical medical laboratory in Clarkston, Washington and active in the NPI registry since July 2010. The organization holds an CLIA Accreditation certificate valid through April 4, 2028 and lists Alan Clifton Peterson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639481674
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePATHOLOGISTS REGIONAL LABORATORY
Location Address1225 HIGHLAND AVEClarkston, WA 99403-2829
Mailing Address415 6th StLewiston, ID 83501-2431 · (208) 746-0516 · Fax (208) 798-3607
Organization SubpartNo
Authorized OfficialAlan Clifton PetersonCeo · (208) 746-0516
Enumeration DateJuly 7, 2010
Last NPPES UpdateOctober 7, 2015
NPI 1639481674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1225 HIGHLAND AVE, Clarkston, WA 99403

Other Identifiers 2

Medicare PING000355300WA
Medicaid1009693WA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 50D2135620

Pathologists Regional Laboratory Tristate Health Lab Tri State Memorial Hospital · Clarkston, WA
Active · expires Apr 4, 2028
CLIA Number50D2135620
Laboratory TypeIndependent
Certificate Effective DateAugust 24, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRebecca Fulton
Laboratory Phone(509) 751-4550
Laboratory LocationPathologists Regional Laboratory Tristate Health Lab Tri State Memorial Hospital1221 Highland Ave, Clarkston, WA 99403
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathologists Regional Laboratory's NPI number?

The NPI number for Pathologists Regional Laboratory is 1639481674. It was assigned to this organization in the NPPES registry on July 7, 2010.

Where is Pathologists Regional Laboratory located?

Pathologists Regional Laboratory is located at 1225 Highland Ave, Clarkston, WA 99403. The listed phone number is (509) 758-4652.

What is Pathologists Regional Laboratory's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Pathologists Regional Laboratory hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 50D2135620) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pathologists Regional Laboratory was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.