50D1105754 CLIA NUMBER - DANIEL M KATZ DO

Laboratory Demographics

CLIA Number: 50D1105754

Facility Name: DANIEL M KATZ DO

Facility Address:
405 BLACK HILLS LN SW STE B1
OLYMPIA, WA
ZIP 98502
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Facility Phone Number: 360 705-1015

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316087042

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 50D1105754
LAB Type Physician Office
Facility Name DANIEL M KATZ DO
Street 405 BLACK HILLS LN SW STE B1
City OLYMPIA
State WA
ZIP 98502
Phone 360 705-1015
CertificateType 4
CertificateEffectiveDate 9/28/2009
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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