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50D2133082 CLIA NUMBER - SILVER FALLS DERMATOLOGY

Laboratory Demographics

CLIA Number: 50D2133082

Facility Name: SILVER FALLS DERMATOLOGY

Facility Address:
1740 COOKS HILL RD
CENTRALIA, WA
ZIP 98531
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Facility Phone Number: 971 915-8579

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1770800930

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 50D2133082
LAB Type Physician Office
Facility Name SILVER FALLS DERMATOLOGY
Street 1740 COOKS HILL RD
City CENTRALIA
State WA
ZIP 98531
Phone 971 915-8579
CertificateType 3
CertificateEffectiveDate 2/20/2018
CertificateExpirationDate 4/4/2028
FacilityType PPMP

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This page was last updated on: 4/23/2024