50D0864259 CLIA NUMBER - PACIFIC NEPHROLOGY ASSOC, PS

Laboratory Demographics

  • CLIA Code: 50D0864259
  • Facility Name: PACIFIC NEPHROLOGY ASSOC, PS
  • Facility Address: 1901 S UNION AVE STE B7011
    TACOMA, WA
    ZIP 98405
  • Facility Phone: 253 627-5755
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JUNE Y. HE
  • NPI Number: 1730106568
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0864259
LAB Type Physician Office
Facility Name PACIFIC NEPHROLOGY ASSOC, PS
Street 1901 S UNION AVE STE B7011
City TACOMA
State WA
ZIP 98405
Phone 253 627-5755
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 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JUNE Y. HE

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