50D1047835 CLIA NUMBER - RIDGEFIELD FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D1047835
  • Facility Name: RIDGEFIELD FAMILY MEDICINE
  • Facility Address: 8507 S 5TH ST STE 113
    RIDGEFIELD, WA
    ZIP 98642
  • Facility Phone: 360 887-9494
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPHINE DREW
  • NPI Number: 1407229719
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D1047835
LAB Type Physician Office
Facility Name RIDGEFIELD FAMILY MEDICINE
Street 8507 S 5TH ST STE 113
City RIDGEFIELD
State WA
ZIP 98642
Phone 360 887-9494
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 4/16/2007
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOSEPHINE DREW

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