50D2145480 CLIA NUMBER - PEACEHEALTH AMBULATORY PHARMACIST CHRONIC CONDITION MANGEMENT CLINIC

Laboratory Demographics

  • CLIA Code: 50D2145480
  • Facility Name: PEACEHEALTH AMBULATORY PHARMACIST CHRONIC CONDITION MANGEMENT CLINIC
  • Facility Address: 3001 SQUALICUM PKWY STE 14A
    BELLINGHAM, WA
    ZIP 98225
  • Facility Phone: 360 788-6934
  • Facility Type: Other - ANTICOAGULATION CLINIC
  • Facility Type: Waiver
  • Lab Director: JEFF CORSENTINO
  • NPI Number: 1710639901
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 50D2145480
LAB Type Other - ANTICOAGULATION CLINIC
Facility Name PEACEHEALTH AMBULATORY PHARMACIST CHRONIC CONDITION MANGEMENT CLINIC
Street 3001 SQUALICUM PKWY STE 14A
City BELLINGHAM
State WA
ZIP 98225
Phone 360 788-6934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2018
Certificate Expiration Date 4/4/2028
Facility Type Other - ANTICOAGULATION CLINIC
Lab Director JEFF CORSENTINO

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This page was last updated on: 6/4/2025