50D2197876 CLIA NUMBER - OLYMPIA INTEGRATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2197876
  • Facility Name: OLYMPIA INTEGRATIVE MEDICINE
  • Facility Address: 2610 YELM HWY SE
    OLYMPIA, WA
    ZIP 98501
  • Facility Phone: 360 915-9389
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: TOM ETHERTON
  • NPI Number: 1518599273
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2197876
LAB Type Other - CLINIC
Facility Name OLYMPIA INTEGRATIVE MEDICINE
Street 2610 YELM HWY SE
City OLYMPIA
State WA
ZIP 98501
Phone 360 915-9389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2020
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director TOM ETHERTON

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