50D0720122 CLIA NUMBER - ROCHESTER FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D0720122
  • Facility Name: ROCHESTER FAMILY MEDICINE
  • Facility Address: 18313 PAULSON STREET SW STE A
    ROCHESTER, WA
    ZIP 98579
  • Facility Phone: 360 827-8400
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JORDAN ABEL
  • NPI Number: 1669488516
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D0720122
LAB Type Rural Health Clinic
Facility Name ROCHESTER FAMILY MEDICINE
Street 18313 PAULSON STREET SW STE A
City ROCHESTER
State WA
ZIP 98579
Phone 360 827-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 4/4/2028
Facility Type Rural Health Clinic
Lab Director JORDAN ABEL

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