50D2256629 CLIA NUMBER - WOMEN'S MOBILE MEDICAL

Laboratory Demographics

  • CLIA Code: 50D2256629
  • Facility Name: WOMEN'S MOBILE MEDICAL
  • Facility Address: 11318 BRIDGEPORT WAY SW STE A
    LAKEWOOD, WA
    ZIP 98499
  • Facility Phone: 253 380-8905
  • Facility Type: Other - ARNP
  • Facility Type: Waiver
  • Lab Director: KIRKWOOD JESSICA
  • NPI Number: 1871190835
  • Taxonomy: 363LW0102X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2256629
LAB Type Other - ARNP
Facility Name WOMEN'S MOBILE MEDICAL
Street 11318 BRIDGEPORT WAY SW STE A
City LAKEWOOD
State WA
ZIP 98499
Phone 253 380-8905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - ARNP
Lab Director KIRKWOOD JESSICA

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