50D2035433 CLIA NUMBER - EVERSIDE HEALTH LLC PALADINA HEALTH LLC

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Laboratory Demographics

CLIA Number: 50D2035433

Facility Name: EVERSIDE HEALTH LLC PALADINA HEALTH LLC

Facility Address:
2115 S 56TH ST STE 310
TACOMA, WA
ZIP 98409
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Facility Phone Number: 253 272-0269

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1417329871

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	50D2035433
LAB Type	Physician Office
Facility Name	EVERSIDE HEALTH LLC PALADINA HEALTH LLC
Street	2115 S 56TH ST STE 310
City	TACOMA
State	WA
ZIP	98409
Phone	253 272-0269
CertificateType	3
CertificateEffectiveDate	6/25/2019
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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This page was last updated on: 4/23/2024