50D0988718 CLIA NUMBER - DERMATOLOGY & ALLERGY SPECIALITES PLLC

Laboratory Demographics

  • CLIA Code: 50D0988718
  • Facility Name: DERMATOLOGY & ALLERGY SPECIALITES PLLC
  • Facility Address: 304 WEST BAY DR NW STE 301
    OLYMPIA, WA
    ZIP 98502
  • Facility Phone: 360 413-8760
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: JACOB H. BAUER
  • NPI Number: 1497755797
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 50D0988718
LAB Type Community Clinic
Facility Name DERMATOLOGY & ALLERGY SPECIALITES PLLC
Street 304 WEST BAY DR NW STE 301
City OLYMPIA
State WA
ZIP 98502
Phone 360 413-8760
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 7/5/2001
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director JACOB H. BAUER

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