Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
50D2106019
|
|
Clinical laboratory number
|
|
Lab Name
|
FRONTIER DERMATOLOGY
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
503-362-8385
|
|
Laboratory telephone number
|
|
Fax
|
503-362-8435
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
4407 FAIRMONT AVE
|
|
Primary location adress line
|
|
City
|
PORT ANGELES
|
|
Primary location city name
|
|
State
|
WA
|
|
Primary location state name
|
|
Zip
|
98363-9514
|
|
Primary location postal code
|