50D0902067 CLIA NUMBER - MULTICARE CAPITAL WOMEN'S HEALTH - OLYMPIA

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Laboratory Demographics

CLIA Number: 50D0902067

Facility Name: MULTICARE CAPITAL WOMEN'S HEALTH - OLYMPIA

Facility Address:
3920 CAPITAL MALL DR SW STE 400
OLYMPIA, WA
ZIP 98502
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Facility Phone Number: 360 705-1259

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528599685

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	50D0902067
LAB Type	Physician Office
Facility Name	MULTICARE CAPITAL WOMEN'S HEALTH - OLYMPIA
Street	3920 CAPITAL MALL DR SW STE 400
City	OLYMPIA
State	WA
ZIP	98502
Phone	360 705-1259
CertificateType	4
CertificateEffectiveDate	3/28/2022
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024