50D2236791 CLIA NUMBER - CARBONADO SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 50D2236791
  • Facility Name: CARBONADO SCHOOL DISTRICT
  • Facility Address: 301 O'FERRELL DR
    CARBONADO, WA
    ZIP 98323
  • Facility Phone: 360 829-0121
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JESSIE SPROUSE
  • NPI Number: 1891724605
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2236791
LAB Type School/Student Health Service
Facility Name CARBONADO SCHOOL DISTRICT
Street 301 O'FERRELL DR
City CARBONADO
State WA
ZIP 98323
Phone 360 829-0121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2021
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director JESSIE SPROUSE

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