50D0878259 CLIA NUMBER - SHOALWATER BAY TRIBAL CLINIC

Laboratory Demographics

  • CLIA Code: 50D0878259
  • Facility Name: SHOALWATER BAY TRIBAL CLINIC
  • Facility Address: 2373 OLD TOKELAND RD PO BOX 500
    TOKELAND, WA
    ZIP 98590
  • Facility Phone: 360 267-0119
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. JOHNNY S. BELL
  • NPI Number: 1063624740
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0878259
LAB Type Community Clinic
Facility Name SHOALWATER BAY TRIBAL CLINIC
Street 2373 OLD TOKELAND RD PO BOX 500
City TOKELAND
State WA
ZIP 98590
Phone 360 267-0119
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 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Community Clinic
Lab Director DR. JOHNNY S. BELL

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