50D0635373 CLIA NUMBER - STEPHEN D SPEIDEL ND

Laboratory Demographics

  • CLIA Code: 50D0635373
  • Facility Name: STEPHEN D SPEIDEL ND
  • Facility Address: 19586 10TH AVE NE
    POULSBO, WA
    ZIP 98370
  • Facility Phone: 360 697-2122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN D. SPEIDEL
  • NPI Number: 1821134602
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 50D0635373
LAB Type Physician Office
Facility Name STEPHEN D SPEIDEL ND
Street 19586 10TH AVE NE
City POULSBO
State WA
ZIP 98370
Phone 360 697-2122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2002
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director STEPHEN D. SPEIDEL

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