50D2223356 CLIA NUMBER - PUGET SOUND HOSPICE

Laboratory Demographics

CLIA Number: 50D2223356

Facility Name: PUGET SOUND HOSPICE

Facility Address:
111 TUMWATER BLVD SE STE A302
TUMWATER, WA
ZIP 98501
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Facility Phone Number: 253 777-4919

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1699311506

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	50D2223356
LAB Type	Hospice
Facility Name	PUGET SOUND HOSPICE
Street	111 TUMWATER BLVD SE STE A302
City	TUMWATER
State	WA
ZIP	98501
Phone	253 777-4919
CertificateType	4
CertificateEffectiveDate	5/5/2021
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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