50D2121118 CLIA NUMBER - SPANAWAY CLINIC

Laboratory Demographics

  • CLIA Code: 50D2121118
  • Facility Name: SPANAWAY CLINIC
  • Facility Address: 134 188TH ST S
    SPANAWAY, WA
    ZIP 98387
  • Facility Phone: 253 597-4550
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JEFFREY SMITH
  • NPI Number: 1346574290
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2121118
LAB Type Community Clinic
Facility Name SPANAWAY CLINIC
Street 134 188TH ST S
City SPANAWAY
State WA
ZIP 98387
Phone 253 597-4550
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/31/2016
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director JEFFREY SMITH

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