50D0637291 CLIA NUMBER - YELM FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D0637291
  • Facility Name: YELM FAMILY MEDICINE
  • Facility Address: 201 TAHOMA BLVD UNIT 102
    YELM, WA
    ZIP 98597
  • Facility Phone: 360 458-7761
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAMARA BUNN
  • NPI Number: 1053364950
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0637291
LAB Type Physician Office
Facility Name YELM FAMILY MEDICINE
Street 201 TAHOMA BLVD UNIT 102
City YELM
State WA
ZIP 98597
Phone 360 458-7761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2004
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director TAMARA BUNN

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This page was last updated on: 3/20/2025