50D2246312 CLIA NUMBER - PE ELL SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 50D2246312
  • Facility Name: PE ELL SCHOOL DISTRICT
  • Facility Address: 519 N 2ND ST
    PE ELL, WA
    ZIP 98572
  • Facility Phone: 360 291-3244
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KEITH SHEPHERD
  • NPI Number: 1336162296
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2246312
LAB Type School/Student Health Service
Facility Name PE ELL SCHOOL DISTRICT
Street 519 N 2ND ST
City PE ELL
State WA
ZIP 98572
Phone 360 291-3244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2021
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director KEITH SHEPHERD

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