50D0987478 CLIA NUMBER - OLYMPIA PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 50D0987478
  • Facility Name: OLYMPIA PEDIATRICS PLLC
  • Facility Address: 3434 12TH AVE NE
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 360 413-8470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIDGET SIPHER
  • NPI Number: 1306012083
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 50D0987478
LAB Type Physician Office
Facility Name OLYMPIA PEDIATRICS PLLC
Street 3434 12TH AVE NE
City OLYMPIA
State WA
ZIP 98506
Phone 360 413-8470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2001
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director BRIDGET SIPHER

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