50D2126958 CLIA NUMBER - THE EMILY PROGRAM

Laboratory Demographics

  • CLIA Code: 50D2126958
  • Facility Name: THE EMILY PROGRAM
  • Facility Address: 673 WOODLAND SQUARE LOOP SE STE 330
    LACEY, WA
    ZIP 98503
  • Facility Phone: 888 364-5977
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: KATHLEEN FUGERE
  • NPI Number: 1780072900
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2126958
LAB Type Comp. Outpatient Rehab Facility
Facility Name THE EMILY PROGRAM
Street 673 WOODLAND SQUARE LOOP SE STE 330
City LACEY
State WA
ZIP 98503
Phone 888 364-5977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2017
Certificate Expiration Date 4/4/2028
Facility Type Comp. Outpatient Rehab Facility
Lab Director KATHLEEN FUGERE

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