50D2151852 CLIA NUMBER - RAINIER FAMILY MEDICINE AND PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 50D2151852
  • Facility Name: RAINIER FAMILY MEDICINE AND PEDIATRICS PLLC
  • Facility Address: 853 WATSON ST N STE 201
    ENUMCLAW, WA
    ZIP 98022
  • Facility Phone: (360) 768-4045
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN HILLER
  • NPI Number: 1720575400
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2151852
LAB Type Physician Office
Facility Name RAINIER FAMILY MEDICINE AND PEDIATRICS PLLC
Street 853 WATSON ST N STE 201
City ENUMCLAW
State WA
ZIP 98022
Phone 3607684045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2018
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director BRIAN HILLER

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