50D0666792 CLIA NUMBER - QUINAULT COMMUNITY HEALTH PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 50D0666792
  • Facility Name: QUINAULT COMMUNITY HEALTH PRIMARY CARE
  • Facility Address: 1020 ANDERSON DR STE 203
    ABERDEEN, WA
    ZIP 98520
  • Facility Phone: 360 533-6063
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JOHN C. BAUSHER
  • NPI Number: 1952131757
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0666792
LAB Type Community Clinic
Facility Name QUINAULT COMMUNITY HEALTH PRIMARY CARE
Street 1020 ANDERSON DR STE 203
City ABERDEEN
State WA
ZIP 98520
Phone 360 533-6063
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 8/30/1996
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director JOHN C. BAUSHER

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