50D2122660 CLIA NUMBER - PAIN CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 50D2122660
  • Facility Name: PAIN CARE PHYSICIANS
  • Facility Address: 1628 S MILDRED ST STE 102
    TACOMA, WA
    ZIP 98465
  • Facility Phone: 206 538-6300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUYUN YU
  • NPI Number: 1588113062
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2122660
LAB Type Physician Office
Facility Name PAIN CARE PHYSICIANS
Street 1628 S MILDRED ST STE 102
City TACOMA
State WA
ZIP 98465
Phone 206 538-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2016
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MUYUN YU

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