50D0630833 CLIA NUMBER - ALLCARE MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 50D0630833

Facility Name: ALLCARE MEDICAL CLINIC

Facility Address:
148 PARK AVE NORTH
RENTON, WA
ZIP 98055
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Facility Phone Number: 425 255-0055

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1720140619

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	50D0630833
LAB Type	Community Clinic
Facility Name	ALLCARE MEDICAL CLINIC
Street	148 PARK AVE NORTH
City	RENTON
State	WA
ZIP	98055
Phone	425 255-0055
CertificateType	3
CertificateEffectiveDate	8/30/1996
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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