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ROSARIO SKIN CLINIIC
NPI 1609813385
Clinic/Center - Medical Specialty in Mount Vernon, WA

Active since June 01, 2006CLIA Certified · 4 labs
1600 CONTINENTAL PLACE, SUITE #101, MOUNT VERNON, WA 98273(360) 336-3026 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rosario Skin Cliniic NPPES

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

ROSARIO SKIN CLINIIC (NPI 1609813385) is a healthcare organization registered as a medical specialty in Mount Vernon, Washington and active in the NPI registry since June 2006. The organization holds 4 active CLIA laboratory certificates and lists Krista Klelt, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1609813385
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameROSARIO SKIN CLINIC PC INC
Location Address1600 CONTINENTAL PLACE, SUITE #101Mount Vernon, WA 98273-5607
Mailing Address1600 Continental Place, Suite #101Mount Vernon, WA 98273-5607 · (360) 336-3026
Phone(360) 336-3026
Organization SubpartNo
Authorized OfficialKrista KleltPractice Manager · (360) 336-3026
Enumeration DateJune 1, 2006
Last NPPES UpdateJuly 22, 2014
✔ NPI 1609813385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Licenses✔ Licensed in WA · MD00046521✔ Licensed in WA · MD00045767
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1600 CONTINENTAL PLACE, Mount Vernon, WA 98273
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Other Names 1

Doing Business AsRosario Skin Cliniic

Other Identifiers 3

Medicare UPINI37931WA
Medicare PIN8860479WA
Medicare UPINP73421WA

CLIA Laboratory Certificates CMS CLIA 4

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 Compliance 50D1059145

Rosario Skin Clinic · Mount Vernon, WA
Active · expires Apr 4, 2028
CLIA Number50D1059145
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2006
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLaurie Jacobson
Laboratory Phone(360) 336-3026
Laboratory LocationRosario Skin Clinic1600 Continental Pl Ste 101, Mount Vernon, WA 98273
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 50D2078902

Rosario Skin Clinic · Coupeville, WA
Active · expires Apr 4, 2028
CLIA Number50D2078902
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCheryl Gustafson
Laboratory Phone(360) 336-3026
Laboratory LocationRosario Skin Clinic5 NE 4th St Ste B, Coupeville, WA 98239
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2078905

Rosario Skin Clinic · Anacortes, WA
Active · expires Apr 4, 2028
CLIA Number50D2078905
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDieter Schmidt
Laboratory Phone(360) 336-3026
Laboratory LocationRosario Skin Clinic3110 Commercial Ave Ste 105, Anacortes, WA 98221
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 50D2132407

Rosario Skin Clinic (silver Falls Dermatology) · Anacortes, WA
Active · expires Apr 4, 2028
CLIA Number50D2132407
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJohn Zhang
Laboratory Phone(360) 336-3026
Laboratory LocationRosario Skin Clinic (silver Falls Dermatology)3110 Commercial Ave Ste 105, Anacortes, WA 98221
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Rosario Skin Clinic PC Inc's NPI number?

The NPI number for Rosario Skin Clinic PC Inc is 1609813385. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Rosario Skin Cliniic.

Where is Rosario Skin Clinic PC Inc located?

Rosario Skin Clinic PC Inc is located at 1600 Continental Place Suite #101, Mount Vernon, WA 98273. The listed phone number is (360) 336-3026.

What is Rosario Skin Clinic PC Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Rosario Skin Clinic PC Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Rosario Skin Clinic PC Inc was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.