50D0909622 CLIA NUMBER - PMG NW WA MC WALK-IN CLINIC-WIC

Laboratory Demographics

  • CLIA Code: 50D0909622
  • Facility Name: PMG NW WA MC WALK-IN CLINIC-WIC
  • Facility Address: 12800 BOTHELL EVERETT HIGHWAY STE 120
    EVERETT, WA
    ZIP 98208
  • Facility Phone: 425 316-5093
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LEE ARGUE
  • NPI Number: 1831639731
  • Taxonomy: 374U00000X - Home Health Aide

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CLIA Record

Field Name Field Value
CLIA Number 50D0909622
LAB Type Mobile Laboratory
Facility Name PMG NW WA MC WALK-IN CLINIC-WIC
Street 12800 BOTHELL EVERETT HIGHWAY STE 120
City EVERETT
State WA
ZIP 98208
Phone 425 316-5093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2009
Certificate Expiration Date 4/4/2028
Facility Type Mobile Laboratory
Lab Director LEE ARGUE

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