50D2255012 CLIA NUMBER - THURSTON INTERNAL MEDICINE, PLLC

Laboratory Demographics

  • CLIA Code: 50D2255012
  • Facility Name: THURSTON INTERNAL MEDICINE, PLLC
  • Facility Address: 3773 B MARTIN WAY E SUITE 106
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 360 382-2762
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TUI LAUILEFUE
  • NPI Number: 1427710185
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2255012
LAB Type Physician Office
Facility Name THURSTON INTERNAL MEDICINE, PLLC
Street 3773 B MARTIN WAY E SUITE 106
City OLYMPIA
State WA
ZIP 98506
Phone 360 382-2762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2022
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director TUI LAUILEFUE

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