50D0684753 CLIA NUMBER - PEACE ISLAND MEDICAL CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 50D0684753
  • Facility Name: PEACE ISLAND MEDICAL CENTER LABORATORY
  • Facility Address: 1117 SPRING ST ATTN HOSPITAL LABORATORY MANAGER
    FRIDAY HARBOR, WA
    ZIP 98250
  • Facility Phone: 360 378-2141
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: GREGORY M. WOLGAMOT
  • NPI Number: 1902232507
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0684753
LAB Type Hospital
Facility Name PEACE ISLAND MEDICAL CENTER LABORATORY
Street 1117 SPRING ST ATTN HOSPITAL LABORATORY MANAGER
City FRIDAY HARBOR
State WA
ZIP 98250
Phone 360 378-2141
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/1/1993
Certificate Expiration Date 4/4/2028
Facility Type Hospital
Lab Director GREGORY M. WOLGAMOT

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