50D2166273 CLIA NUMBER - CHINN GYN, LLC

Laboratory Demographics

CLIA Number: 50D2166273

Facility Name: CHINN GYN, LLC

Facility Address:
111 S 12TH ST
MOUNT VERNON, WA
ZIP 98274
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Facility Phone Number: 360 824-5278

Facility Type: Other - CLINIC

Certificate Type: Microscopy

NPI Number: 1336602473

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	50D2166273
LAB Type	Other - CLINIC
Facility Name	CHINN GYN, LLC
Street	111 S 12TH ST
City	MOUNT VERNON
State	WA
ZIP	98274
Phone	360 824-5278
CertificateType	3
CertificateEffectiveDate	5/15/2019
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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