50D0985289 CLIA NUMBER - PMG SW WA PANORAMA

Laboratory Demographics

  • CLIA Code: 50D0985289
  • Facility Name: PMG SW WA PANORAMA
  • Facility Address: 1450 NORTHWEST LN SE STE A
    LACEY, WA
    ZIP 98503
  • Facility Phone: 360 491-4460
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROMIL L. WADHAWAN

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CLIA Record

Field Name Field Value
CLIA Number 50D0985289
LAB Type Physician Office
Facility Name PMG SW WA PANORAMA
Street 1450 NORTHWEST LN SE STE A
City LACEY
State WA
ZIP 98503
Phone 360 491-4460
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/12/2001
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ROMIL L. WADHAWAN

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This page was last updated on: 6/4/2025