50D2254120 CLIA NUMBER - MARYSVILLE CITY JAIL

Laboratory Demographics

  • CLIA Code: 50D2254120
  • Facility Name: MARYSVILLE CITY JAIL
  • Facility Address: 601 DELTA AVE
    MARYSVILLE, WA
    ZIP 98270
  • Facility Phone: 425 328-4127
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: RAE BOYD
  • NPI Number: 1154875219
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2254120
LAB Type Prison
Facility Name MARYSVILLE CITY JAIL
Street 601 DELTA AVE
City MARYSVILLE
State WA
ZIP 98270
Phone 425 328-4127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2022
Certificate Expiration Date 4/4/2028
Facility Type Prison
Lab Director RAE BOYD

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