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50D0932635 CLIA NUMBER - WOODCREEK PEDIATRICS- MARY BRIDGE CHILDREN'S

Laboratory Demographics

CLIA Number: 50D0932635

Facility Name: WOODCREEK PEDIATRICS- MARY BRIDGE CHILDREN'S

Facility Address:
11102 SUNRISE BLVD E STE 103
PUYALLUP, WA
ZIP 98374
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Facility Phone Number: 253 848-8797

Facility Type: Other

Certificate Type: Certificate of Compliance
NPI Number: 1700396652

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 50D0932635
LAB Type Other
Facility Name WOODCREEK PEDIATRICS- MARY BRIDGE CHILDREN'S
Street 11102 SUNRISE BLVD E STE 103
City PUYALLUP
State WA
ZIP 98374
Phone 253 848-8797
CertificateType 2
CertificateEffectiveDate 8/25/1997
CertificateExpirationDate 4/4/2028
FacilityType Compliance

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