THE OLYMPIA FREE CLINIC
NPI 1861939597
Clinic/Center in Olympia, WA

Active since January 19, 2017CLIA 50D2104975 · Waiver
108 STATE AVE NW, OLYMPIA, WA 98501(360) 890-4074 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Olympia Free Clinic NPPES

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

THE OLYMPIA FREE CLINIC (NPI 1861939597) is a healthcare organization registered as a clinic/center in Olympia, Washington and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Darlene Hein, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1861939597
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTHE OLYMPIA FREE CLINIC
Location Address108 STATE AVE NWOlympia, WA 98501-8249
Mailing Address108 State Ave NwOlympia, WA 98501-8249 · (360) 890-4074
Organization SubpartNo
Authorized OfficialDarlene HeinExecutive Director · (360) 515-0788
Enumeration DateJanuary 19, 2017
NPI 1861939597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in WA · 602957992
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
108 STATE AVE NW, Olympia, WA 98501

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 50D2104975

The Olympia Free Clinic · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D2104975
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 16, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMichael Matlock
Laboratory Phone(360) 890-4074
Laboratory LocationThe Olympia Free Clinic520 Lilly Rd NE Ste 3, Olympia, WA 98506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 The Olympia Free Clinic's NPI number?

The NPI number for The Olympia Free Clinic is 1861939597. It was assigned to this organization in the NPPES registry on January 19, 2017.

Where is The Olympia Free Clinic located?

The Olympia Free Clinic is located at 108 State Ave NW, Olympia, WA 98501. The listed phone number is (360) 890-4074.

What is The Olympia Free Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does The Olympia Free Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2104975) 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 The Olympia Free Clinic was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.