50D0909342 CLIA NUMBER - KITSAP OBGYN PLLC

Laboratory Demographics

CLIA Number: 50D0909342

Facility Name: KITSAP OBGYN PLLC

Facility Address:
9750 LEVIN ROAD NW
SILVERDALE, WA
ZIP 98383
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Facility Phone Number: 360 607-7202

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1366835399

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	50D0909342
LAB Type	Physician Office
Facility Name	KITSAP OBGYN PLLC
Street	9750 LEVIN ROAD NW
City	SILVERDALE
State	WA
ZIP	98383
Phone	360 607-7202
CertificateType	3
CertificateEffectiveDate	12/1/1995
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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This page was last updated on: 4/23/2024