50D2177141 CLIA NUMBER - NORTH STAR CLINIC LLC

Laboratory Demographics

  • CLIA Code: 50D2177141
  • Facility Name: NORTH STAR CLINIC LLC
  • Facility Address: 2120 LAWRENCE ST
    PORT TOWNSEND, WA
    ZIP 98368
  • Facility Phone: 360 344-8146
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: JAMES C. BLAIR III
  • NPI Number: 1740823566
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2177141
LAB Type Practitioner Other
Facility Name NORTH STAR CLINIC LLC
Street 2120 LAWRENCE ST
City PORT TOWNSEND
State WA
ZIP 98368
Phone 360 344-8146
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/6/2020
Certificate Expiration Date 4/4/2028
Facility Type Practitioner Other
Lab Director JAMES C. BLAIR III

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