50D1019123 CLIA NUMBER - NOOKSACK TRIBAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 50D1019123
  • Facility Name: NOOKSACK TRIBAL HEALTH CENTER
  • Facility Address: 2510 SULWHANON DRIVE
    EVERSON, WA
    ZIP 98247
  • Facility Phone: 360 966-2106
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SARA L. SHEAFFER
  • NPI Number: 1144254731
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D1019123
LAB Type Federally Qualified Health Center
Facility Name NOOKSACK TRIBAL HEALTH CENTER
Street 2510 SULWHANON DRIVE
City EVERSON
State WA
ZIP 98247
Phone 360 966-2106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Federally Qualified Health Center
Lab Director SARA L. SHEAFFER

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