50D0630585 CLIA NUMBER - COVINGTON MEDICAL CENTER LABORATORY

Laboratory Demographics

CLIA Number: 50D0630585

Facility Name: COVINGTON MEDICAL CENTER LABORATORY

Facility Address:
17700 SE 272ND ST STE 180
COVINGTON, WA
ZIP 98042
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Facility Phone Number: 253 372-7195

Facility Type: Other

Certificate Type: Accreditation

NPI Number: 1780121673

Taxonomy: 1223P0221X - Dentist
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

CLIA Record

Field Name Field Value
CLIA Number 50D0630585
LAB Type Other
Facility Name COVINGTON MEDICAL CENTER LABORATORY
Street 17700 SE 272ND ST STE 180
City COVINGTON
State WA
ZIP 98042
Phone 253 372-7195
CertificateType 1
CertificateEffectiveDate 8/15/2019
CertificateExpirationDate 4/4/2028
FacilityType Accreditation

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This page was last updated on: 4/23/2024