50D0637277 CLIA NUMBER - THE BEACH CLINIC INC PS

Laboratory Demographics

  • CLIA Code: 50D0637277
  • Facility Name: THE BEACH CLINIC INC PS
  • Facility Address: 3624 ENSIGN RD NE STE C
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 360 268-0195
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GEORGE DUEBER
  • NPI Number: 1770787335
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0637277
LAB Type Physician Office
Facility Name THE BEACH CLINIC INC PS
Street 3624 ENSIGN RD NE STE C
City OLYMPIA
State WA
ZIP 98506
Phone 360 268-0195
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 8/27/2004
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director GEORGE DUEBER

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