50D2271782 CLIA NUMBER - MAPLE STREET BIRTH CENTER

Laboratory Demographics

  • CLIA Code: 50D2271782
  • Facility Name: MAPLE STREET BIRTH CENTER
  • Facility Address: 435 MAPLE ST
    OMAK, WA
    ZIP 98841
  • Facility Phone: 253 318-9484
  • Facility Type: Other - BIRTH CENTER
  • Facility Type: Waiver
  • Lab Director: JESSICA READY
  • NPI Number: 1588388383
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2271782
LAB Type Other - BIRTH CENTER
Facility Name MAPLE STREET BIRTH CENTER
Street 435 MAPLE ST
City OMAK
State WA
ZIP 98841
Phone 253 318-9484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - BIRTH CENTER
Lab Director JESSICA READY

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