50D0633974 CLIA NUMBER - WHITEHORSE FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 50D0633974

Facility Name: WHITEHORSE FAMILY MEDICINE

Facility Address:
875 WESLEY ST STE 250
ARLINGTON, WA
ZIP 98223
Get Directions

Facility Phone Number: 360 435-2233

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073687174

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D0633974
LAB Type	Physician Office
Facility Name	WHITEHORSE FAMILY MEDICINE
Street	875 WESLEY ST STE 250
City	ARLINGTON
State	WA
ZIP	98223
Phone	360 435-2233
CertificateType	4
CertificateEffectiveDate	3/15/2001
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024