50D0881779 CLIA NUMBER - THE EVERGREEN STATE COLLEGE

Laboratory Demographics

  • CLIA Code: 50D0881779
  • Facility Name: THE EVERGREEN STATE COLLEGE
  • Facility Address: 2700 EVERGREEN PKWY NW SEM II BLDGB 3100
    OLYMPIA, WA
    ZIP 98505
  • Facility Phone: 360 866-6000
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: ELIZABETH MCHUGH
  • NPI Number: 1114195898
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0881779
LAB Type School/Student Health Service
Facility Name THE EVERGREEN STATE COLLEGE
Street 2700 EVERGREEN PKWY NW SEM II BLDGB 3100
City OLYMPIA
State WA
ZIP 98505
Phone 360 866-6000
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 1/17/1996
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director ELIZABETH MCHUGH

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This page was last updated on: 3/20/2025