50D0989250 CLIA NUMBER - OLYMPIC PENINSULA COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 50D0989250
  • Facility Name: OLYMPIC PENINSULA COMMUNITY CLINIC
  • Facility Address: 819 GEORGIANA ST
    PORT ANGELES, WA
    ZIP 98362
  • Facility Phone: 360 457-4431
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GERALD STEPHANZ
  • NPI Number: 1609520485
  • Taxonomy: 253Z00000X - In Home Supportive Care

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0989250
LAB Type Other
Facility Name OLYMPIC PENINSULA COMMUNITY CLINIC
Street 819 GEORGIANA ST
City PORT ANGELES
State WA
ZIP 98362
Phone 360 457-4431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2001
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director GERALD STEPHANZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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