50D2174934 CLIA NUMBER - THE BIRTH COTTAGE

Laboratory Demographics

  • CLIA Code: 50D2174934
  • Facility Name: THE BIRTH COTTAGE
  • Facility Address: 1108 WASHINGTON AVE
    ENUMCLAW, WA
    ZIP 98022
  • Facility Phone: 206 227-2211
  • Facility Type: Other - LICENSED MIDWIFE
  • Facility Type: Waiver
  • Lab Director: TERAH LARA
  • NPI Number: 1700428463
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2174934
LAB Type Other - LICENSED MIDWIFE
Facility Name THE BIRTH COTTAGE
Street 1108 WASHINGTON AVE
City ENUMCLAW
State WA
ZIP 98022
Phone 206 227-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2019
Certificate Expiration Date 4/4/2028
Facility Type Other - LICENSED MIDWIFE
Lab Director TERAH LARA

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