50D2156009 CLIA NUMBER - MT BAKER PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 50D2156009
  • Facility Name: MT BAKER PAIN CLINIC
  • Facility Address: 16410 SMOKEY POINT BLVD STE 210
    ARLINGTON, WA
    ZIP 98223
  • Facility Phone: 360 200-4388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENT RICHARDSON
  • NPI Number: 1659807584
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2156009
LAB Type Physician Office
Facility Name MT BAKER PAIN CLINIC
Street 16410 SMOKEY POINT BLVD STE 210
City ARLINGTON
State WA
ZIP 98223
Phone 360 200-4388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2018
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director BRENT RICHARDSON

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