50D1041361 CLIA NUMBER - JULIE A DYBBRO ARNP LLC

Laboratory Demographics

  • CLIA Code: 50D1041361
  • Facility Name: JULIE A DYBBRO ARNP LLC
  • Facility Address: 200 LILLY RD NE SUITE B
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 360 754-9409
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: JULIE A. DYBBRO
  • NPI Number: 1124006150
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D1041361
LAB Type Practitioner Other
Facility Name JULIE A DYBBRO ARNP LLC
Street 200 LILLY RD NE SUITE B
City OLYMPIA
State WA
ZIP 98506
Phone 360 754-9409
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 5/31/2005
Certificate Expiration Date 4/4/2028
Facility Type Practitioner Other
Lab Director JULIE A. DYBBRO

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