50D0634994 CLIA NUMBER - OLYMPIC FAMILY PRACTICE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 50D0634994
  • Facility Name: OLYMPIC FAMILY PRACTICE ASSOCIATES
  • Facility Address: 2601 CHERRY AVE SUITE 208
    BREMERTON, WA
    ZIP 98310
  • Facility Phone: 360 373-9191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT L. CAULKINS
  • NPI Number: 1033320007
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0634994
LAB Type Physician Office
Facility Name OLYMPIC FAMILY PRACTICE ASSOCIATES
Street 2601 CHERRY AVE SUITE 208
City BREMERTON
State WA
ZIP 98310
Phone 360 373-9191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2004
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ROBERT L. CAULKINS

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