50D2170872 CLIA NUMBER - COMMUNITY HEALTH CARE SCHOOL BASED CLINIC

Laboratory Demographics

  • CLIA Code: 50D2170872
  • Facility Name: COMMUNITY HEALTH CARE SCHOOL BASED CLINIC
  • Facility Address: 22001 38TH AVE E
    SPANAWAY, WA
    ZIP 98387
  • Facility Phone: 253 722-1718
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JEFF SMITH
  • NPI Number: 1497314819
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2170872
LAB Type Federally Qualified Health Center
Facility Name COMMUNITY HEALTH CARE SCHOOL BASED CLINIC
Street 22001 38TH AVE E
City SPANAWAY
State WA
ZIP 98387
Phone 253 722-1718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2019
Certificate Expiration Date 4/4/2028
Facility Type Federally Qualified Health Center
Lab Director JEFF SMITH

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