50D2108445 CLIA NUMBER - PACIFICA MEDICINE AND WELLNESS

Laboratory Demographics

  • CLIA Code: 50D2108445
  • Facility Name: PACIFICA MEDICINE AND WELLNESS
  • Facility Address: 19980 10TH AVE NE STE 202
    POULSBO, WA
    ZIP 98370
  • Facility Phone: 360 979-0569
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREA L. CHYMIY
  • NPI Number: 1831563600
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2108445
LAB Type Physician Office
Facility Name PACIFICA MEDICINE AND WELLNESS
Street 19980 10TH AVE NE STE 202
City POULSBO
State WA
ZIP 98370
Phone 360 979-0569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2016
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ANDREA L. CHYMIY

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