50D0882702 CLIA NUMBER - SILVERDALE PEDIATRICS, LLP

Laboratory Demographics

  • CLIA Code: 50D0882702
  • Facility Name: SILVERDALE PEDIATRICS, LLP
  • Facility Address: 9910 LEVIN RD NW STE 200
    SILVERDALE, WA
    ZIP 98383
  • Facility Phone: 360 692-8588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIRAN S. AL-AGBA
  • NPI Number: 1952433765
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 50D0882702
LAB Type Physician Office
Facility Name SILVERDALE PEDIATRICS, LLP
Street 9910 LEVIN RD NW STE 200
City SILVERDALE
State WA
ZIP 98383
Phone 360 692-8588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/1998
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director NIRAN S. AL-AGBA

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