50D0945821 CLIA NUMBER - NORTHWEST MEDICAL SPECIALTIES PLLC

Laboratory Demographics

  • CLIA Code: 50D0945821
  • Facility Name: NORTHWEST MEDICAL SPECIALTIES PLLC
  • Facility Address: 1624 S I ST STE 305
    TACOMA, WA
    ZIP 98405
  • Facility Phone: 253 428-8713
  • Facility Type: Other
  • Facility Type: Certificate of Compliance
  • Lab Director: JORGE CHAVES
  • NPI Number: 1548357098
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0945821
LAB Type Other
Facility Name NORTHWEST MEDICAL SPECIALTIES PLLC
Street 1624 S I ST STE 305
City TACOMA
State WA
ZIP 98405
Phone 253 428-8713
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/25/2006
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director JORGE CHAVES

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This page was last updated on: 3/20/2025