50D2146030 CLIA NUMBER - KITSAP EYE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 50D2146030
  • Facility Name: KITSAP EYE PHYSICIANS
  • Facility Address: 1740 POTTERY AVE STE 100
    PORT ORCHARD, WA
    ZIP 98366
  • Facility Phone: (360) 895-0847
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARLENE PEASE
  • NPI Number: 1174732556
  • Taxonomy: 207W00000X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2146030
LAB Type Physician Office
Facility Name KITSAP EYE PHYSICIANS
Street 1740 POTTERY AVE STE 100
City PORT ORCHARD
State WA
ZIP 98366
Phone 3608950847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2018
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MARLENE PEASE

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: 5/18/2026