50D0866772 CLIA NUMBER - MUCKLESHOOT HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 50D0866772
  • Facility Name: MUCKLESHOOT HEALTH CLINIC
  • Facility Address: 17500 SE 392ND STREET
    AUBURN, WA
    ZIP 98092
  • Facility Phone: 253 876-6960
  • Facility Type: Other - TRIBAL HEALTH CENTER
  • Facility Type: Microscopy
  • Lab Director: DR. MYTHILI R. RAMACHANDRAN
  • NPI Number: 1669826533
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 50D0866772
LAB Type Other - TRIBAL HEALTH CENTER
Facility Name MUCKLESHOOT HEALTH CLINIC
Street 17500 SE 392ND STREET
City AUBURN
State WA
ZIP 98092
Phone 253 876-6960
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - TRIBAL HEALTH CENTER
Lab Director DR. MYTHILI R. RAMACHANDRAN

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