50D2150980 CLIA NUMBER - ONE MEDICAL - PUYALLUP

Laboratory Demographics

  • CLIA Code: 50D2150980
  • Facility Name: ONE MEDICAL - PUYALLUP
  • Facility Address: 3705 S MERIDIAN STE B RM 125
    PUYALLUP, WA
    ZIP 98373
  • Facility Phone: 253 765-5050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERESA F. MCGRATH
  • NPI Number: 1053805739
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2150980
LAB Type Physician Office
Facility Name ONE MEDICAL - PUYALLUP
Street 3705 S MERIDIAN STE B RM 125
City PUYALLUP
State WA
ZIP 98373
Phone 253 765-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2018
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director TERESA F. MCGRATH

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