50D2166976 CLIA NUMBER - MT BAKER IMAGING

Laboratory Demographics

  • CLIA Code: 50D2166976
  • Facility Name: MT BAKER IMAGING
  • Facility Address: 710 BIRCHWOOD AVE STE 102
    BELLINGHAM, WA
    ZIP 98225
  • Facility Phone: 360 733-0430
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: STEPHEN BUETOW
  • NPI Number: 1295725133
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 50D2166976
LAB Type Other - CLINIC
Facility Name MT BAKER IMAGING
Street 710 BIRCHWOOD AVE STE 102
City BELLINGHAM
State WA
ZIP 98225
Phone 360 733-0430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2019
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director STEPHEN BUETOW

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