50D0636701 CLIA NUMBER - TUMWATER FAMILY PRACTICE CLINIC BY MULTICARE

Laboratory Demographics

  • CLIA Code: 50D0636701
  • Facility Name: TUMWATER FAMILY PRACTICE CLINIC BY MULTICARE
  • Facility Address: 150 DENNIS ST SW
    TUMWATER, WA
    ZIP 98501
  • Facility Phone: 360 754-6367
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CYNTHIA WHITNEY
  • NPI Number: 1659578516
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0636701
LAB Type Physician Office
Facility Name TUMWATER FAMILY PRACTICE CLINIC BY MULTICARE
Street 150 DENNIS ST SW
City TUMWATER
State WA
ZIP 98501
Phone 360 754-6367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2022
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director CYNTHIA WHITNEY

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