50D2073242 CLIA NUMBER - NORTH ISLAND MEDICAL

Laboratory Demographics

  • CLIA Code: 50D2073242
  • Facility Name: NORTH ISLAND MEDICAL
  • Facility Address: 165 SE ELY ST
    OAK HARBOR, WA
    ZIP 98277
  • Facility Phone: 360 682-5444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAN FISHER
  • NPI Number: 1881021905
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2073242
LAB Type Physician Office
Facility Name NORTH ISLAND MEDICAL
Street 165 SE ELY ST
City OAK HARBOR
State WA
ZIP 98277
Phone 360 682-5444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2014
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DAN FISHER

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