50D0878875 CLIA NUMBER - LIFE CARE CENTER OF PUYALLUP

Laboratory Demographics

  • CLIA Code: 50D0878875
  • Facility Name: LIFE CARE CENTER OF PUYALLUP
  • Facility Address: 511 10TH AVE SE
    PUYALLUP, WA
    ZIP 98372
  • Facility Phone: 253 845-7566
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DENNIS KIM
  • NPI Number: 1508811183
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0878875
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF PUYALLUP
Street 511 10TH AVE SE
City PUYALLUP
State WA
ZIP 98372
Phone 253 845-7566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/1993
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DENNIS KIM

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