50D2096326 CLIA NUMBER - PRIDEAUX - BLODGETT LLC

Laboratory Demographics

  • CLIA Code: 50D2096326
  • Facility Name: PRIDEAUX - BLODGETT LLC
  • Facility Address: 7808 PACIFIC AVE STE 3
    TACOMA, WA
    ZIP 98408
  • Facility Phone: 253 473-7637
  • Facility Type: Other - ARNP
  • Facility Type: Waiver
  • Lab Director: BECKY BLODGETT
  • NPI Number: 1023431095
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2096326
LAB Type Other - ARNP
Facility Name PRIDEAUX - BLODGETT LLC
Street 7808 PACIFIC AVE STE 3
City TACOMA
State WA
ZIP 98408
Phone 253 473-7637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2015
Certificate Expiration Date 4/4/2028
Facility Type Other - ARNP
Lab Director BECKY BLODGETT

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