50D2106830 CLIA NUMBER - WOODLAND FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2106830
  • Facility Name: WOODLAND FAMILY MEDICINE
  • Facility Address: 1331 N GOERIG ST STE C
    WOODLAND, WA
    ZIP 98674
  • Facility Phone: 360 887-9494
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPHINE DREW
  • NPI Number: 1326152117
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2106830
LAB Type Physician Office
Facility Name WOODLAND FAMILY MEDICINE
Street 1331 N GOERIG ST STE C
City WOODLAND
State WA
ZIP 98674
Phone 360 887-9494
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/29/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOSEPHINE DREW

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