50D2256484 CLIA NUMBER - HARBOR DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 50D2256484
  • Facility Name: HARBOR DERMATOLOGY
  • Facility Address: 7901 SKANSIE AVE STE 200
    GIG HARBOR, WA
    ZIP 98335
  • Facility Phone: 253 400-1202
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL NELSON
  • NPI Number: 1376204719
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D2256484
LAB Type Physician Office
Facility Name HARBOR DERMATOLOGY
Street 7901 SKANSIE AVE STE 200
City GIG HARBOR
State WA
ZIP 98335
Phone 253 400-1202
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 3/24/2022
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MICHAEL NELSON

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