50D0947905 CLIA NUMBER - PACIFIC PEDIATRICS

Laboratory Demographics

  • CLIA Code: 50D0947905
  • Facility Name: PACIFIC PEDIATRICS
  • Facility Address: 11601 PACIFIC AVENUE
    TACOMA, WA
    ZIP 98444
  • Facility Phone: 253 536-3336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: N J. THEMELIS
  • NPI Number: 1699936898
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 50D0947905
LAB Type Physician Office
Facility Name PACIFIC PEDIATRICS
Street 11601 PACIFIC AVENUE
City TACOMA
State WA
ZIP 98444
Phone 253 536-3336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/1998
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director N J. THEMELIS

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