50D1100633 CLIA NUMBER - PEACEHEALTH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 50D1100633
  • Facility Name: PEACEHEALTH MEDICAL GROUP
  • Facility Address: 4545 CORDATA PARKWAY
    BELLINGHAM, WA
    ZIP 98226
  • Facility Phone: 360 738-2200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CAMILLA ALLEN
  • NPI Number: 1396990701
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1100633
LAB Type Physician Office
Facility Name PEACEHEALTH MEDICAL GROUP
Street 4545 CORDATA PARKWAY
City BELLINGHAM
State WA
ZIP 98226
Phone 360 738-2200
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 6/9/2009
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director CAMILLA ALLEN

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This page was last updated on: 6/4/2025