50D2256615 CLIA NUMBER - JAMESTOWN HEALING CLINIC

Laboratory Demographics

CLIA Number: 50D2256615

Facility Name: JAMESTOWN HEALING CLINIC

Facility Address:
526 S 9TH AVE
SEQUIM, WA
ZIP 98382
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Facility Phone Number: 360 683-1109

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1023195161

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	50D2256615
LAB Type	Community Clinic
Facility Name	JAMESTOWN HEALING CLINIC
Street	526 S 9TH AVE
City	SEQUIM
State	WA
ZIP	98382
Phone	360 683-1109
CertificateType	3
CertificateEffectiveDate	3/25/2022
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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This page was last updated on: 4/23/2024