50D2199338 CLIA NUMBER - ENUMCLAW CITY JAIL

Laboratory Demographics

  • CLIA Code: 50D2199338
  • Facility Name: ENUMCLAW CITY JAIL
  • Facility Address: 1705 WELLS ST
    ENUMCLAW, WA
    ZIP 98022
  • Facility Phone: 360 825-8580
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: HEIDI S. BOYOVICH
  • NPI Number: 1336432079
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 50D2199338
LAB Type Prison
Facility Name ENUMCLAW CITY JAIL
Street 1705 WELLS ST
City ENUMCLAW
State WA
ZIP 98022
Phone 360 825-8580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2020
Certificate Expiration Date 4/4/2028
Facility Type Prison
Lab Director HEIDI S. BOYOVICH

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