50D1039449 CLIA NUMBER - FRANCISCAN MEDICAL CLINIC - PORT ORCHARD

Laboratory Demographics

  • CLIA Code: 50D1039449
  • Facility Name: FRANCISCAN MEDICAL CLINIC - PORT ORCHARD
  • Facility Address: 450 S KITSAP BLVD STE 200
    PORT ORCHARD, WA
    ZIP 98366
  • Facility Phone: 360 277-2975
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANASTASIA AUGUSTINE
  • NPI Number: 1598129561
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D1039449
LAB Type Physician Office
Facility Name FRANCISCAN MEDICAL CLINIC - PORT ORCHARD
Street 450 S KITSAP BLVD STE 200
City PORT ORCHARD
State WA
ZIP 98366
Phone 360 277-2975
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 4/13/2005
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ANASTASIA AUGUSTINE

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