50D2061877 CLIA NUMBER - NOBLE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 50D2061877
  • Facility Name: NOBLE PHYSICIANS
  • Facility Address: 5602 RUDDELL RD SE
    LACEY, WA
    ZIP 98503
  • Facility Phone: 253 737-5764
  • Facility Type: Other - DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: STEVEN M. RUDNICK
  • NPI Number: 1568729572
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2061877
LAB Type Other - DRUG TREATMENT
Facility Name NOBLE PHYSICIANS
Street 5602 RUDDELL RD SE
City LACEY
State WA
ZIP 98503
Phone 253 737-5764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2013
Certificate Expiration Date 4/4/2028
Facility Type Other - DRUG TREATMENT
Lab Director STEVEN M. RUDNICK

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