50D0930497 CLIA NUMBER - EAST HILL MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 50D0930497

Facility Name: EAST HILL MEDICAL CLINIC

Facility Address:
10413 SE 244TH STREET
KENT, WA
ZIP 98031
Get Directions

Facility Phone Number: 253 852-2770

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447398821

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	50D0930497
LAB Type	Physician Office
Facility Name	EAST HILL MEDICAL CLINIC
Street	10413 SE 244TH STREET
City	KENT
State	WA
ZIP	98031
Phone	253 852-2770
CertificateType	4
CertificateEffectiveDate	7/15/1997
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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