50D2059234 CLIA NUMBER - FRANCISCAN MEDICAL CLINIC - BONNEY LAKE

Laboratory Demographics

  • CLIA Code: 50D2059234
  • Facility Name: FRANCISCAN MEDICAL CLINIC - BONNEY LAKE
  • Facility Address: 9230 SKY ISLAND DR E
    BONNEY LAKE, WA
    ZIP 98391
  • Facility Phone: 253 750-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANASTASIA AUGUSTINE
  • NPI Number: 1255838694
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2059234
LAB Type Physician Office
Facility Name FRANCISCAN MEDICAL CLINIC - BONNEY LAKE
Street 9230 SKY ISLAND DR E
City BONNEY LAKE
State WA
ZIP 98391
Phone 253 750-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ANASTASIA AUGUSTINE

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