50D1057804 CLIA NUMBER - WHATCOM COUNTY JUVENILE DETENTION

Laboratory Demographics

CLIA Number: 50D1057804

Facility Name: WHATCOM COUNTY JUVENILE DETENTION

Facility Address:
311 GRAND AVE 6TH FLOOR
BELLINGHAM, WA
ZIP 98225
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Facility Phone Number: 360 778-5490

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1295008464

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D1057804
LAB Type	Other
Facility Name	WHATCOM COUNTY JUVENILE DETENTION
Street	311 GRAND AVE 6TH FLOOR
City	BELLINGHAM
State	WA
ZIP	98225
Phone	360 778-5490
CertificateType	3
CertificateEffectiveDate	8/22/2006
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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This page was last updated on: 4/23/2024