50D0997081 CLIA NUMBER - JAMESTOWN FAMILY HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 50D0997081
  • Facility Name: JAMESTOWN FAMILY HEALTH CLINIC
  • Facility Address: 808 N 5TH AVE
    SEQUIM, WA
    ZIP 98382
  • Facility Phone: 360 683-5900
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: PAUL CUNNINGHAM, MD
  • NPI Number: 1306506415
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D0997081
LAB Type Community Clinic
Facility Name JAMESTOWN FAMILY HEALTH CLINIC
Street 808 N 5TH AVE
City SEQUIM
State WA
ZIP 98382
Phone 360 683-5900
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 3/4/2024
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director PAUL CUNNINGHAM, MD

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