50D2002379 CLIA NUMBER - FRANCISCAN MEDICAL CLINIC - CANYON ROAD

Laboratory Demographics

  • CLIA Code: 50D2002379
  • Facility Name: FRANCISCAN MEDICAL CLINIC - CANYON ROAD
  • Facility Address: 15214 CANYON RD E
    PUYALLUP, WA
    ZIP 98375
  • Facility Phone: 253 539-4200
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: FRANCIS E. MERCADO
  • NPI Number: 1043441082
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 50D2002379
LAB Type Other - CLINIC
Facility Name FRANCISCAN MEDICAL CLINIC - CANYON ROAD
Street 15214 CANYON RD E
City PUYALLUP
State WA
ZIP 98375
Phone 253 539-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2017
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director FRANCIS E. MERCADO

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