50D0882762 CLIA NUMBER - AUBURN OSTEOPATHIC MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 50D0882762
  • Facility Name: AUBURN OSTEOPATHIC MEDICAL CLINIC
  • Facility Address: 820 HARVEY RD STE E
    AUBURN, WA
    ZIP 98002
  • Facility Phone: 253 939-1066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEILA Z. KENNEDY
  • NPI Number: 1831362938
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0882762
LAB Type Physician Office
Facility Name AUBURN OSTEOPATHIC MEDICAL CLINIC
Street 820 HARVEY RD STE E
City AUBURN
State WA
ZIP 98002
Phone 253 939-1066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/1994
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director SHEILA Z. KENNEDY

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