50D0721425 CLIA NUMBER - PMG NW WA HARBOUR POINTE

Laboratory Demographics

  • CLIA Code: 50D0721425
  • Facility Name: PMG NW WA HARBOUR POINTE
  • Facility Address: 4112 HARBOUR POINTE BLVD SW
    MUKILTEO, WA
    ZIP 98275
  • Facility Phone: 425 347-6686
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KATHERINE BUMSTEAD
  • NPI Number: 1124279237
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0721425
LAB Type Physician Office
Facility Name PMG NW WA HARBOUR POINTE
Street 4112 HARBOUR POINTE BLVD SW
City MUKILTEO
State WA
ZIP 98275
Phone 425 347-6686
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 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director KATHERINE BUMSTEAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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