50D0718615 CLIA NUMBER - UPPER SKAGIT TRIBAL CLINIC

Laboratory Demographics

  • CLIA Code: 50D0718615
  • Facility Name: UPPER SKAGIT TRIBAL CLINIC
  • Facility Address: 25959 COMMUNITY PLAZA WAY
    SEDRO WOOLLEY, WA
    ZIP 98284
  • Facility Phone: 206 856-4200
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS CALDERON
  • NPI Number: 1821259821
  • Taxonomy: 103TC1900X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 50D0718615
LAB Type Community Clinic
Facility Name UPPER SKAGIT TRIBAL CLINIC
Street 25959 COMMUNITY PLAZA WAY
City SEDRO WOOLLEY
State WA
ZIP 98284
Phone 206 856-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director DR. THOMAS CALDERON

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