Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services - Washington

Organization Clinical Medical Laboratory · NPI 1316433527

Providence Health & Services - Washington is a Clinical Medical Laboratory in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

1025 S 2nd Ave
Walla Walla, WA 99362-4116
Phone: (509) 897-5174
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence MTSC.FS.60877120 (WA)

Record details

NPI number1316433527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Secretary-Enrollment/Admin Dir · (425) 358-9786
Other names Pmg Se Wa - Lab; Pmg Se Wa - Lab
NPI enumeratedJuly 11, 2018
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 32, Liberty Lake, WA 99019-0032

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