50D0635574 CLIA NUMBER - RAINIER PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 50D0635574
  • Facility Name: RAINIER PEDIATRICS, INC
  • Facility Address: 12904 94TH AVE EAST
    PUYALLUP, WA
    ZIP 98373
  • Facility Phone: 253 841-3999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. PEARSON
  • NPI Number: 1720498280
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 50D0635574
LAB Type Physician Office
Facility Name RAINIER PEDIATRICS, INC
Street 12904 94TH AVE EAST
City PUYALLUP
State WA
ZIP 98373
Phone 253 841-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/1998
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MICHAEL L. PEARSON

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