50D2192899 CLIA NUMBER - WASHINGTON GASTROENTEROLOGY RESEARCH

Laboratory Demographics

  • CLIA Code: 50D2192899
  • Facility Name: WASHINGTON GASTROENTEROLOGY RESEARCH
  • Facility Address: 2202 S CEDAR STE 330
    TACOMA, WA
    ZIP 98405
  • Facility Phone: 253 272-5127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM H. HOLDERMAN
  • NPI Number: 1306364401
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2192899
LAB Type Physician Office
Facility Name WASHINGTON GASTROENTEROLOGY RESEARCH
Street 2202 S CEDAR STE 330
City TACOMA
State WA
ZIP 98405
Phone 253 272-5127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2020
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director WILLIAM H. HOLDERMAN

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