50D2131873 CLIA NUMBER - SOUTH CORRECTIONAL ENTITY (SCORE)

Laboratory Demographics

  • CLIA Code: 50D2131873
  • Facility Name: SOUTH CORRECTIONAL ENTITY (SCORE)
  • Facility Address: 20817 17TH AVE S
    DES MOINES, WA
    ZIP 98198
  • Facility Phone: (206) 257-6200
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MICHAEL GRABINSKI
  • NPI Number: 1851198212
  • Taxonomy: 261QP2400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2131873
LAB Type Prison
Facility Name SOUTH CORRECTIONAL ENTITY (SCORE)
Street 20817 17TH AVE S
City DES MOINES
State WA
ZIP 98198
Phone 2062576200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2017
Certificate Expiration Date 4/4/2028
Facility Type Prison
Lab Director MICHAEL GRABINSKI

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This page was last updated on: 5/18/2026