50D0633400 CLIA NUMBER - FRANCISCAN MEDICAL CLINIC - ENUMCLAW

Laboratory Demographics

  • CLIA Code: 50D0633400
  • Facility Name: FRANCISCAN MEDICAL CLINIC - ENUMCLAW
  • Facility Address: 3021 GRIFFIN AVE
    ENUMCLAW, WA
    ZIP 98022
  • Facility Phone: 360 825-6511
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANASTASIA AUGUSTINE
  • NPI Number: 1679700231
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 50D0633400
LAB Type Physician Office
Facility Name FRANCISCAN MEDICAL CLINIC - ENUMCLAW
Street 3021 GRIFFIN AVE
City ENUMCLAW
State WA
ZIP 98022
Phone 360 825-6511
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/2/1998
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ANASTASIA AUGUSTINE

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