50D2096738 CLIA NUMBER - HEART OF WELLNESS PS

Laboratory Demographics

  • CLIA Code: 50D2096738
  • Facility Name: HEART OF WELLNESS PS
  • Facility Address: 205 CLARK PL SE
    TUMWATER, WA
    ZIP 98501
  • Facility Phone: 360 570-0401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANA DUNCAN
  • NPI Number: 1154678670
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2096738
LAB Type Physician Office
Facility Name HEART OF WELLNESS PS
Street 205 CLARK PL SE
City TUMWATER
State WA
ZIP 98501
Phone 360 570-0401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DIANA DUNCAN

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This page was last updated on: 6/4/2025