50D1106610 CLIA NUMBER - UNITED BACKCARE

Laboratory Demographics

  • CLIA Code: 50D1106610
  • Facility Name: UNITED BACKCARE
  • Facility Address: 1416 E MAIN ST STE F
    PUYALLUP, WA
    ZIP 98372
  • Facility Phone: 425 644-4100
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: NIRIKSHA MALLADI
  • NPI Number: 1386751774
  • Taxonomy: 261QP3300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D1106610
LAB Type Comp. Outpatient Rehab Facility
Facility Name UNITED BACKCARE
Street 1416 E MAIN ST STE F
City PUYALLUP
State WA
ZIP 98372
Phone 425 644-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2009
Certificate Expiration Date 4/4/2028
Facility Type Comp. Outpatient Rehab Facility
Lab Director NIRIKSHA MALLADI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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