50D1083268 CLIA NUMBER - MISSION CREEK CORRECTIONS CNTR-WOMEN

Laboratory Demographics

CLIA Number: 50D1083268

Facility Name: MISSION CREEK CORRECTIONS CNTR-WOMEN

Facility Address:
3420 NE SAND HILL RD
BELFAIR, WA
ZIP 98528
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Facility Phone Number: 360 277-2445

Facility Type: Tissue Bank/Repositories

Certificate Type: Microscopy

NPI Number: 1689965063

Taxonomy: 261QP2400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D1083268
LAB Type	Tissue Bank/Repositories
Facility Name	MISSION CREEK CORRECTIONS CNTR-WOMEN
Street	3420 NE SAND HILL RD
City	BELFAIR
State	WA
ZIP	98528
Phone	360 277-2445
CertificateType	3
CertificateEffectiveDate	4/30/2008
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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