50D2172584 CLIA NUMBER - MULTICARE GOOD SAMARITAN EMERGENCY BONNEY LAKE

Laboratory Demographics

  • CLIA Code: 50D2172584
  • Facility Name: MULTICARE GOOD SAMARITAN EMERGENCY BONNEY LAKE
  • Facility Address: 9550 195TH AVE E
    BONNEY LAKE, WA
    ZIP 98391
  • Facility Phone: 253 447-3400
  • Facility Type: Other - FREE STANDING ED
  • Facility Type: Certificate of Compliance
  • Lab Director: SARAH E. ROONEY
  • NPI Number: 1497331243
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 50D2172584
LAB Type Other - FREE STANDING ED
Facility Name MULTICARE GOOD SAMARITAN EMERGENCY BONNEY LAKE
Street 9550 195TH AVE E
City BONNEY LAKE
State WA
ZIP 98391
Phone 253 447-3400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/25/2019
Certificate Expiration Date 4/4/2028
Facility Type Other - FREE STANDING ED
Lab Director SARAH E. ROONEY

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