50D1105464 CLIA NUMBER - UNION AVENUE OPEN MRI

Laboratory Demographics

  • CLIA Code: 50D1105464
  • Facility Name: UNION AVENUE OPEN MRI
  • Facility Address: 2502 UNION AVENUE
    TACOMA, WA
    ZIP 98405
  • Facility Phone: 253 761-4200
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JOSEPH SAM
  • NPI Number: 1568531242
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1105464
LAB Type Other
Facility Name UNION AVENUE OPEN MRI
Street 2502 UNION AVENUE
City TACOMA
State WA
ZIP 98405
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 9/23/2009
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director JOSEPH SAM

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