50D1098999 CLIA NUMBER - TRA MEDICAL IMAGING OLYMPIA

Laboratory Demographics

  • CLIA Code: 50D1098999
  • Facility Name: TRA MEDICAL IMAGING OLYMPIA
  • Facility Address: 500 LILLY RD NE STE 160
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 253 761-4200
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GRANT TIBBETTS
  • NPI Number: 1447041751
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1098999
LAB Type Other
Facility Name TRA MEDICAL IMAGING OLYMPIA
Street 500 LILLY RD NE STE 160
City OLYMPIA
State WA
ZIP 98506
Phone 253 761-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2009
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director GRANT TIBBETTS

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