50D2089160 CLIA NUMBER - LAKESIDE BIRTH CENTER

Laboratory Demographics

  • CLIA Code: 50D2089160
  • Facility Name: LAKESIDE BIRTH CENTER
  • Facility Address: 2722 214TH AVE E
    BONNEY LAKE, WA
    ZIP 98391
  • Facility Phone: 253 862-6533
  • Facility Type: Other - MIDWIFE
  • Facility Type: Waiver
  • Lab Director: NANCY C. SPENCER
  • NPI Number: 1285793240
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2089160
LAB Type Other - MIDWIFE
Facility Name LAKESIDE BIRTH CENTER
Street 2722 214TH AVE E
City BONNEY LAKE
State WA
ZIP 98391
Phone 253 862-6533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2014
Certificate Expiration Date 4/4/2028
Facility Type Other - MIDWIFE
Lab Director NANCY C. SPENCER

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