50D1067941 CLIA NUMBER - BELLINGHAM UROLOGY GROUP

Laboratory Demographics

  • CLIA Code: 50D1067941
  • Facility Name: BELLINGHAM UROLOGY GROUP
  • Facility Address: 340 BIRCHWOOD AVE
    BELLINGHAM, WA
    ZIP 98225
  • Facility Phone: 360 714-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN M. PETTIT
  • NPI Number: 1043690126
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1067941
LAB Type Physician Office
Facility Name BELLINGHAM UROLOGY GROUP
Street 340 BIRCHWOOD AVE
City BELLINGHAM
State WA
ZIP 98225
Phone 360 714-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2019
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOHN M. PETTIT

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