50D0979715 CLIA NUMBER - NORTHWEST PEDIATRIC CENTER

Laboratory Demographics

  • CLIA Code: 50D0979715
  • Facility Name: NORTHWEST PEDIATRIC CENTER
  • Facility Address: 18313 PAULSON ST SW
    ROCHESTER, WA
    ZIP 98579
  • Facility Phone: 360 273-1150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER POLLEY

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CLIA Record

Field Name Field Value
CLIA Number 50D0979715
LAB Type Physician Office
Facility Name NORTHWEST PEDIATRIC CENTER
Street 18313 PAULSON ST SW
City ROCHESTER
State WA
ZIP 98579
Phone 360 273-1150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2000
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JENNIFER POLLEY

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