50D1095288 CLIA NUMBER - SASHA CAVANAGH MD PC

Laboratory Demographics

  • CLIA Code: 50D1095288
  • Facility Name: SASHA CAVANAGH MD PC
  • Facility Address: 3703 ENSIGN RD NE STE 10B
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 360 455-5091
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SASHA C. CAVANAGH
  • NPI Number: 1700886017
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D1095288
LAB Type Physician Office
Facility Name SASHA CAVANAGH MD PC
Street 3703 ENSIGN RD NE STE 10B
City OLYMPIA
State WA
ZIP 98506
Phone 360 455-5091
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/5/2009
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director SASHA C. CAVANAGH

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