50D1001192 CLIA NUMBER - SEQUIM MEDICAL ASSOCIATES, PLLP

Laboratory Demographics

  • CLIA Code: 50D1001192
  • Facility Name: SEQUIM MEDICAL ASSOCIATES, PLLP
  • Facility Address: 840 N 5TH AVE STE 2100
    SEQUIM, WA
    ZIP 98382
  • Facility Phone: 360 582-2850
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID LEWIS
  • NPI Number: 1477506061
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D1001192
LAB Type Physician Office
Facility Name SEQUIM MEDICAL ASSOCIATES, PLLP
Street 840 N 5TH AVE STE 2100
City SEQUIM
State WA
ZIP 98382
Phone 360 582-2850
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 7/2/2002
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DAVID LEWIS

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This page was last updated on: 3/20/2025