50D2117904 CLIA NUMBER - FAIRHAVEN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 50D2117904
  • Facility Name: FAIRHAVEN DERMATOLOGY
  • Facility Address: 3105 OLD FAIRHAVEN PARKWAY UNIT 3105-A
    BELLINGHAM, WA
    ZIP 98225
  • Facility Phone: 360 656-6278
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: THOMAS J. LANGEI
  • NPI Number: 1477024628
  • Taxonomy: 174N00000X - Lactation Consultant, Non-RN

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CLIA Record

Field Name Field Value
CLIA Number 50D2117904
LAB Type Physician Office
Facility Name FAIRHAVEN DERMATOLOGY
Street 3105 OLD FAIRHAVEN PARKWAY UNIT 3105-A
City BELLINGHAM
State WA
ZIP 98225
Phone 360 656-6278
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/25/2016
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director THOMAS J. LANGEI

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