50D0634416 CLIA NUMBER - FERNDALE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 50D0634416
  • Facility Name: FERNDALE MEDICAL CENTER
  • Facility Address: 5580 NORDIC PL PO BOX 5005
    FERNDALE, WA
    ZIP 98248
  • Facility Phone: 360 384-1511
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN LEWIS
  • NPI Number: 1225302680
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 50D0634416
LAB Type Physician Office
Facility Name FERNDALE MEDICAL CENTER
Street 5580 NORDIC PL PO BOX 5005
City FERNDALE
State WA
ZIP 98248
Phone 360 384-1511
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 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director STEPHEN LEWIS

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