50D2050802 CLIA NUMBER - EPPEL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2050802
  • Facility Name: EPPEL FAMILY MEDICINE
  • Facility Address: 1950 POTTERY AVE STE 140
    PORT ORCHARD, WA
    ZIP 98366
  • Facility Phone: 360 876-5440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIETER H. EPPEL
  • NPI Number: 1134472947
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2050802
LAB Type Physician Office
Facility Name EPPEL FAMILY MEDICINE
Street 1950 POTTERY AVE STE 140
City PORT ORCHARD
State WA
ZIP 98366
Phone 360 876-5440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2012
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DIETER H. EPPEL

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