50D2217781 CLIA NUMBER - THE POLYCLINIC TACOMA

Laboratory Demographics

  • CLIA Code: 50D2217781
  • Facility Name: THE POLYCLINIC TACOMA
  • Facility Address: 1812 S J ST STE 102
    TACOMA, WA
    ZIP 98405
  • Facility Phone: 253 552-4900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL BATEMAN
  • NPI Number: 1831411487
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 50D2217781
LAB Type Physician Office
Facility Name THE POLYCLINIC TACOMA
Street 1812 S J ST STE 102
City TACOMA
State WA
ZIP 98405
Phone 253 552-4900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/23/2021
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MICHAEL BATEMAN

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