50D2073242 CLIA NUMBER - NORTH ISLAND MEDICAL

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Laboratory Demographics

CLIA Number: 50D2073242

Facility Name: NORTH ISLAND MEDICAL

Facility Address:
165 SE ELY ST
OAK HARBOR, WA
ZIP 98277
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Facility Phone Number: 360 682-5444

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881021905

Taxonomy: 261QP2300X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	2/13/2014
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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