50D0897228 CLIA NUMBER - THURSTON COUNTY CORRECTIONAL HEALTH

Laboratory Demographics

  • CLIA Code: 50D0897228
  • Facility Name: THURSTON COUNTY CORRECTIONAL HEALTH
  • Facility Address: 2000 LAKERIDGE DRIVE SW
    OLYMPIA, WA
    ZIP 98502
  • Facility Phone: 360 754-2941
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SHANNON YOUNG
  • NPI Number: 1447476346
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0897228
LAB Type Other
Facility Name THURSTON COUNTY CORRECTIONAL HEALTH
Street 2000 LAKERIDGE DRIVE SW
City OLYMPIA
State WA
ZIP 98502
Phone 360 754-2941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/1995
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director SHANNON YOUNG

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