50D0065774 CLIA NUMBER - WESTERN STATE HOSPITAL - CLINICAL LAB

Laboratory Demographics

  • CLIA Code: 50D0065774
  • Facility Name: WESTERN STATE HOSPITAL - CLINICAL LAB
  • Facility Address: 9601 STEILACOOM BLVD SW
    TACOMA, WA
    ZIP 98498
  • Facility Phone: 253 756-2700
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SAMIR K. GUNJAN
  • NPI Number: 1710287479
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 50D0065774
LAB Type Hospital
Facility Name WESTERN STATE HOSPITAL - CLINICAL LAB
Street 9601 STEILACOOM BLVD SW
City TACOMA
State WA
ZIP 98498
Phone 253 756-2700
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Hospital
Lab Director DR. SAMIR K. GUNJAN

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This page was last updated on: 9/29/2025