CLALLAM COUNTY JAIL MEDICAL
NPI 1518119403
Public Health or Welfare in Port Angeles, WA

Active since October 22, 2008CLIA 50D2028147 · Waiver
223 E 4TH ST, SUITE 12, PORT ANGELES, WA 98362(360) 417-2592 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clallam County Jail Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLALLAM COUNTY JAIL MEDICAL (NPI 1518119403) is a healthcare organization registered as a public health or welfare in Port Angeles, Washington and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Karen E Peterson, Fiscal Specialist, as its authorized official.

NPPES Registry Identity

NPI1518119403
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCLALLAM COUNTY JAIL MEDICAL
Location Address223 E 4TH ST, SUITE 12Port Angeles, WA 98362-3000
Mailing Address223 E 4th St, Suite 12Port Angeles, WA 98362-3000 · (360) 417-2592
Organization SubpartNo
Authorized OfficialKaren E PetersonFiscal Specialist · (360) 417-2592
Enumeration DateOctober 22, 2008
NPI 1518119403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
223 E 4TH ST, Port Angeles, WA 98362

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2028147

Clallam County Jail · Port Angeles, WA
Active · expires Apr 4, 2028
CLIA Number50D2028147
Laboratory TypePrison
Certificate Effective DateAugust 10, 2011
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLindsey Monaghan
Laboratory Phone(360) 417-2262
Laboratory LocationClallam County Jail223 E 4th St Ste 12, Port Angeles, WA 98362
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
223 E 4TH ST
PORT ANGELES, WA 98362
Registered Nurse
223 E 4TH ST
PORT ANGELES, WA 98362
Clinic/Center (Federally Qualified Health Center (FQHC))
223 E 4TH ST
PORT ANGELES, WA 98362
Public Health or Welfare
223 E 4TH ST, SUITE #14
PORT ANGELES, WA 98362
Registered Nurse
223 E 4TH ST
PORT ANGELES, WA 98362
Preventive Medicine (Public Health & General Preventive Medicine)
223 E 4TH ST, STE 14
PORT ANGELES, WA 98362
Dental Hygienist
223 E 4TH ST, SUITE 14
PORT ANGELES, WA 98362
Case Manager/Care Coordinator
223 E 4TH ST
PORT ANGELES, WA 98362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clallam County Jail Medical's NPI number?

The NPI number for Clallam County Jail Medical is 1518119403. It was assigned to this organization in the NPPES registry on October 22, 2008.

Where is Clallam County Jail Medical located?

Clallam County Jail Medical is located at 223 E 4th St Suite 12, Port Angeles, WA 98362. The listed phone number is (360) 417-2592.

What is Clallam County Jail Medical's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Clallam County Jail Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2028147) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clallam County Jail Medical was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.