50D2231730 CLIA NUMBER - CLOVER PARK SCHOOL DISTRICT - STUDENT SERVICES CEN

Laboratory Demographics

  • CLIA Code: 50D2231730
  • Facility Name: CLOVER PARK SCHOOL DISTRICT - STUDENT SERVICES CEN
  • Facility Address: 10903 GRAVELLY LAKE DR SW
    LAKEWOOD, WA
    ZIP 98499
  • Facility Phone: 253 583-5010
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: BRIAN LAUBACH
  • NPI Number: 1720173313
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2231730
LAB Type School/Student Health Service
Facility Name CLOVER PARK SCHOOL DISTRICT - STUDENT SERVICES CEN
Street 10903 GRAVELLY LAKE DR SW
City LAKEWOOD
State WA
ZIP 98499
Phone 253 583-5010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2021
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director BRIAN LAUBACH

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