50D1092091 CLIA NUMBER - COMMUNITY COUNSELING INSTITUTE

Laboratory Demographics

  • CLIA Code: 50D1092091
  • Facility Name: COMMUNITY COUNSELING INSTITUTE
  • Facility Address: 2502 TACOMA AVE S
    TACOMA, WA
    ZIP 98402
  • Facility Phone: 253 759-0852
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: WILLIAM JAMES
  • NPI Number: 1215130166
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 50D1092091
LAB Type Other
Facility Name COMMUNITY COUNSELING INSTITUTE
Street 2502 TACOMA AVE S
City TACOMA
State WA
ZIP 98402
Phone 253 759-0852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2008
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director WILLIAM JAMES

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