50D2240873 CLIA NUMBER - FOX MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 50D2240873
  • Facility Name: FOX MEDICAL CENTER
  • Facility Address: 4620 BRIDGEPORT WAY W STE A
    UNIVERSITY PLACE, WA
    ZIP 98466
  • Facility Phone: 773 263-8591
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN L. FOX
  • NPI Number: 1639748882
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2240873
LAB Type Physician Office
Facility Name FOX MEDICAL CENTER
Street 4620 BRIDGEPORT WAY W STE A
City UNIVERSITY PLACE
State WA
ZIP 98466
Phone 773 263-8591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2021
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director BRIAN L. FOX

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