50D2208705 CLIA NUMBER - WEST PIERCE FIRE AND RESCUE

Laboratory Demographics

CLIA Number: 50D2208705

Facility Name: WEST PIERCE FIRE AND RESCUE

Facility Address:
3631 DREXLER DR W
UNIVERSITY PLACE, WA
ZIP 98466
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Facility Phone Number: 253 564-1623

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1063485837

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 50D2208705
LAB Type Ambulance
Facility Name WEST PIERCE FIRE AND RESCUE
Street 3631 DREXLER DR W
City UNIVERSITY PLACE
State WA
ZIP 98466
Phone 253 564-1623
CertificateType 4
CertificateEffectiveDate 1/7/2021
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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