50D0957114 CLIA NUMBER - OLYMPIC MEMORIAL HOSPITAL-NURSING

Laboratory Demographics

CLIA Number: 50D0957114

Facility Name: OLYMPIC MEMORIAL HOSPITAL-NURSING

Facility Address:
939 CAROLINE STREET
PORT ANGELES, WA
ZIP 98362
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Facility Phone Number: 360 417-7000

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1306845557

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	50D0957114
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	OLYMPIC MEMORIAL HOSPITAL-NURSING
Street	939 CAROLINE STREET
City	PORT ANGELES
State	WA
ZIP	98362
Phone	360 417-7000
CertificateType	4
CertificateEffectiveDate	6/17/1998
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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