50D2090635 CLIA NUMBER - SEAN R WHITE MD PS

Laboratory Demographics

  • CLIA Code: 50D2090635
  • Facility Name: SEAN R WHITE MD PS
  • Facility Address: 501 W PIONEER AVE
    MONTESANO, WA
    ZIP 98563
  • Facility Phone: 360 637-8108
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: SEAN R. WHITE
  • NPI Number: 1720262421
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 50D2090635
LAB Type Other - CLINIC
Facility Name SEAN R WHITE MD PS
Street 501 W PIONEER AVE
City MONTESANO
State WA
ZIP 98563
Phone 360 637-8108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2018
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director SEAN R. WHITE

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