50D0971684 CLIA NUMBER - OLYMPIC DERMATOLOGY AND LASER CLINIC

Laboratory Demographics

  • CLIA Code: 50D0971684
  • Facility Name: OLYMPIC DERMATOLOGY AND LASER CLINIC
  • Facility Address: 424 LILLY RD NE
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 360 459-1700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SETH M. MARTIN
  • NPI Number: 1356851018
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 50D0971684
LAB Type Physician Office
Facility Name OLYMPIC DERMATOLOGY AND LASER CLINIC
Street 424 LILLY RD NE
City OLYMPIA
State WA
ZIP 98506
Phone 360 459-1700
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/20/2000
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director SETH M. MARTIN

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