50D0977882 CLIA NUMBER - STAFFORD CREEK CORRECTIONAL CENTER

Laboratory Demographics

  • CLIA Code: 50D0977882
  • Facility Name: STAFFORD CREEK CORRECTIONAL CENTER
  • Facility Address: 191 CONSTANTINE WAY
    ABERDEEN, WA
    ZIP 98520
  • Facility Phone: 360 537-1800
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: RYAN HERRINGTON
  • NPI Number: 1952506420
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0977882
LAB Type Other
Facility Name STAFFORD CREEK CORRECTIONAL CENTER
Street 191 CONSTANTINE WAY
City ABERDEEN
State WA
ZIP 98520
Phone 360 537-1800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/8/2000
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director RYAN HERRINGTON

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