50D2257273 CLIA NUMBER - LACEY FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 50D2257273
  • Facility Name: LACEY FAMILY CLINIC
  • Facility Address: 7503 PACIFIC AVE SE
    LACEY, WA
    ZIP 98503
  • Facility Phone: 360 995-4253
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NAYEON KIM
  • NPI Number: 1508431693
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2257273
LAB Type Community Clinic
Facility Name LACEY FAMILY CLINIC
Street 7503 PACIFIC AVE SE
City LACEY
State WA
ZIP 98503
Phone 360 995-4253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2022
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director NAYEON KIM

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