50D0636558 CLIA NUMBER - DAVID R KENNEL MD

Laboratory Demographics

  • CLIA Code: 50D0636558
  • Facility Name: DAVID R KENNEL MD
  • Facility Address: 5920 100TH ST STE 31
    TACOMA, WA
    ZIP 98499
  • Facility Phone: 253 584-3023
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID R. KENNEL
  • NPI Number: 1952345563
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0636558
LAB Type Physician Office
Facility Name DAVID R KENNEL MD
Street 5920 100TH ST STE 31
City TACOMA
State WA
ZIP 98499
Phone 253 584-3023
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/13/2002
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DAVID R. KENNEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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