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50D2175706 CLIA NUMBER - WEST CAMPUS PEDIATRICS, C AND C MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 50D2175706

Facility Name: WEST CAMPUS PEDIATRICS, C AND C MEDICAL ASSOCIATES

Facility Address:
710 S 348TH ST STE B
FEDERAL WAY, WA
ZIP 98003
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Facility Phone Number: 253 878-5193

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1700283793

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

CLIA Record

Field Name Field Value
CLIA Number 50D2175706
LAB Type Community Clinic
Facility Name WEST CAMPUS PEDIATRICS, C AND C MEDICAL ASSOCIATES
Street 710 S 348TH ST STE B
City FEDERAL WAY
State WA
ZIP 98003
Phone 253 878-5193
CertificateType 4
CertificateEffectiveDate 11/26/2019
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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This page was last updated on: 4/23/2024