50D2156199 CLIA NUMBER - BROOKDALE COURTYARD PUYALLUP

Laboratory Demographics

  • CLIA Code: 50D2156199
  • Facility Name: BROOKDALE COURTYARD PUYALLUP
  • Facility Address: 4610 6TH STREET PL SE
    PUYALLUP, WA
    ZIP 98374
  • Facility Phone: 253 841-9722
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CANDACE THOMPSON
  • NPI Number: 1821132440
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2156199
LAB Type Assisted Living Facility
Facility Name BROOKDALE COURTYARD PUYALLUP
Street 4610 6TH STREET PL SE
City PUYALLUP
State WA
ZIP 98374
Phone 253 841-9722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2018
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director CANDACE THOMPSON

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