50D2145919 CLIA NUMBER - STANWOOD INTEGRATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2145919
  • Facility Name: STANWOOD INTEGRATIVE MEDICINE
  • Facility Address: 7206 267TH ST NW STE 102
    STANWOOD, WA
    ZIP 98292
  • Facility Phone: 360 629-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARRIE L. HARDY
  • NPI Number: 1760949531
  • Taxonomy: 261QH0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2145919
LAB Type Physician Office
Facility Name STANWOOD INTEGRATIVE MEDICINE
Street 7206 267TH ST NW STE 102
City STANWOOD
State WA
ZIP 98292
Phone 360 629-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2018
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director CARRIE L. HARDY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025