50D2229761 CLIA NUMBER - FAMILY CARE NETWORK MT VERNON URGENT CARE

Laboratory Demographics

  • CLIA Code: 50D2229761
  • Facility Name: FAMILY CARE NETWORK MT VERNON URGENT CARE
  • Facility Address: 205 STEWART RD STE 104
    MOUNT VERNON, WA
    ZIP 98273
  • Facility Phone: 360 395-2938
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN C. DUNN
  • NPI Number: 1104140318
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2229761
LAB Type Physician Office
Facility Name FAMILY CARE NETWORK MT VERNON URGENT CARE
Street 205 STEWART RD STE 104
City MOUNT VERNON
State WA
ZIP 98273
Phone 360 395-2938
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 7/15/2021
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOHN C. DUNN

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