50D2198791 CLIA NUMBER - SUQUAMISH TRIBE HEALING HOUSE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 50D2198791
  • Facility Name: SUQUAMISH TRIBE HEALING HOUSE MEDICAL CLINIC
  • Facility Address: 6968 NE ENETAI LN
    SUQUAMISH, WA
    ZIP 98392
  • Facility Phone: 360 394-1350
  • Facility Type: Other - TRIBAL COMM HEALTH
  • Facility Type: Microscopy
  • Lab Director: KRISTINE EWING
  • NPI Number: 1114674942
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2198791
LAB Type Other - TRIBAL COMM HEALTH
Facility Name SUQUAMISH TRIBE HEALING HOUSE MEDICAL CLINIC
Street 6968 NE ENETAI LN
City SUQUAMISH
State WA
ZIP 98392
Phone 360 394-1350
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 9/27/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - TRIBAL COMM HEALTH
Lab Director KRISTINE EWING

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