50D0634216 CLIA NUMBER - NORTHWEST GASTROENTEROLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 50D0634216
  • Facility Name: NORTHWEST GASTROENTEROLOGY CLINIC
  • Facility Address: 3111 WOBURN ST STE 201
    BELLINGHAM, WA
    ZIP 98226
  • Facility Phone: 360 734-1420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY MCCULLOUGH
  • NPI Number: 1588765739
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0634216
LAB Type Physician Office
Facility Name NORTHWEST GASTROENTEROLOGY CLINIC
Street 3111 WOBURN ST STE 201
City BELLINGHAM
State WA
ZIP 98226
Phone 360 734-1420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director KELLY MCCULLOUGH

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