50D2308498 CLIA NUMBER - GRACE HEALTH CLINIC AND URGENT CARE

Laboratory Demographics

  • CLIA Code: 50D2308498
  • Facility Name: GRACE HEALTH CLINIC AND URGENT CARE
  • Facility Address: 1106 COLUMBIA AVE STE 125
    MARYSVILLE, WA
    ZIP 98270
  • Facility Phone: 360 200-1696
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ABISOLA ONASHILE
  • NPI Number: 1255182994
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2308498
LAB Type Community Clinic
Facility Name GRACE HEALTH CLINIC AND URGENT CARE
Street 1106 COLUMBIA AVE STE 125
City MARYSVILLE
State WA
ZIP 98270
Phone 360 200-1696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director ABISOLA ONASHILE

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This page was last updated on: 6/4/2025