50D1052134 CLIA NUMBER - GASTROENTEROLOGY ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 50D1052134
  • Facility Name: GASTROENTEROLOGY ASSOCIATES PLLC
  • Facility Address: 209 LILLY RD NE
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 360 413-8250
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KIM BARNUM
  • NPI Number: 1548241623
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1052134
LAB Type Ambulatory Surgery Center
Facility Name GASTROENTEROLOGY ASSOCIATES PLLC
Street 209 LILLY RD NE
City OLYMPIA
State WA
ZIP 98506
Phone 360 413-8250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2006
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director KIM BARNUM

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