50D1092366 CLIA NUMBER - WALDRON ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 50D1092366
  • Facility Name: WALDRON ENDOSCOPY CENTER
  • Facility Address: 3209 S 23RD ST 2ND FLOOR
    TACOMA, WA
    ZIP 98405
  • Facility Phone: (253) 272-5127
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM H. HOLDERMAN, MD
  • NPI Number: 1992765986
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1092366
LAB Type Ambulatory Surgery Center
Facility Name WALDRON ENDOSCOPY CENTER
Street 3209 S 23RD ST 2ND FLOOR
City TACOMA
State WA
ZIP 98405
Phone 2532725127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2008
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM H. HOLDERMAN, MD

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This page was last updated on: 5/18/2026