50D0635393 CLIA NUMBER - HARRISON HEALTH PARTNERS SEQUIM DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 50D0635393
  • Facility Name: HARRISON HEALTH PARTNERS SEQUIM DERMATOLOGY
  • Facility Address: 1950 NW MYHRE RD FL 2
    SILVERDALE, WA
    ZIP 98383
  • Facility Phone: 360 782-5700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANASTASIA AUGUSTINE
  • NPI Number: 1518912609
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 50D0635393
LAB Type Physician Office
Facility Name HARRISON HEALTH PARTNERS SEQUIM DERMATOLOGY
Street 1950 NW MYHRE RD FL 2
City SILVERDALE
State WA
ZIP 98383
Phone 360 782-5700
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 ANASTASIA AUGUSTINE

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This page was last updated on: 6/4/2025