50D2073232 CLIA NUMBER - PACIFIC FAMILY & INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2073232
  • Facility Name: PACIFIC FAMILY & INTERNAL MEDICINE
  • Facility Address: 201 S SUNNYSIDE AVE STE 207 PO BOX 145
    SEQUIM, WA
    ZIP 98382
  • Facility Phone: 360 775-3515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE MATHEW
  • NPI Number: 1174965230
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2073232
LAB Type Physician Office
Facility Name PACIFIC FAMILY & INTERNAL MEDICINE
Street 201 S SUNNYSIDE AVE STE 207 PO BOX 145
City SEQUIM
State WA
ZIP 98382
Phone 360 775-3515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director GEORGE MATHEW

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