50D2229312 CLIA NUMBER - BETHEL SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 50D2229312

Facility Name: BETHEL SCHOOL DISTRICT

Facility Address:
516 176TH ST E
SPANAWAY, WA
ZIP 98387
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Facility Phone Number: 253 800-2300

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1801800727

Taxonomy: 390200000X - Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

CLIA Record

Field Name	Field Value
CLIA Number	50D2229312
LAB Type	School/Student Health Service
Facility Name	BETHEL SCHOOL DISTRICT
Street	516 176TH ST E
City	SPANAWAY
State	WA
ZIP	98387
Phone	253 800-2300
CertificateType	4
CertificateEffectiveDate	7/9/2021
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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