50D0634678 CLIA NUMBER - SKAGIT REGIONAL HEALTH LITTLE MOUNTAIN PEDIACTRICS

Laboratory Demographics

  • CLIA Code: 50D0634678
  • Facility Name: SKAGIT REGIONAL HEALTH LITTLE MOUNTAIN PEDIACTRICS
  • Facility Address: 2101 LITTLE MOUNTAIN LN
    MOUNT VERNON, WA
    ZIP 98274
  • Facility Phone: 360 428-2622
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: EMILY BIANCONI
  • NPI Number: 1992823744
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 50D0634678
LAB Type Other - CLINIC
Facility Name SKAGIT REGIONAL HEALTH LITTLE MOUNTAIN PEDIACTRICS
Street 2101 LITTLE MOUNTAIN LN
City MOUNT VERNON
State WA
ZIP 98274
Phone 360 428-2622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director EMILY BIANCONI

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