50D2080359 CLIA NUMBER - JOHN R KNUDSEN MD

Laboratory Demographics

  • CLIA Code: 50D2080359
  • Facility Name: JOHN R KNUDSEN MD
  • Facility Address: 6046 PORTAL WAY STE 103
    FERNDALE, WA
    ZIP 98248
  • Facility Phone: 360 483-5260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. KNUDSEN
  • NPI Number: 1508952060
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2080359
LAB Type Physician Office
Facility Name JOHN R KNUDSEN MD
Street 6046 PORTAL WAY STE 103
City FERNDALE
State WA
ZIP 98248
Phone 360 483-5260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2014
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOHN R. KNUDSEN

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