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50D2275380 CLIA NUMBER - CONCERTO MEDICAL GROUP OF WASHINGTON, PC

Laboratory Demographics

CLIA Number: 50D2275380

Facility Name: CONCERTO MEDICAL GROUP OF WASHINGTON, PC

Facility Address:
11311 BRIDGEPORT WAY SW STE 201
LAKEWOOD, WA
ZIP 98499
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Facility Phone Number: 425 272-4600

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1518338623

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 50D2275380
LAB Type Physician Office
Facility Name CONCERTO MEDICAL GROUP OF WASHINGTON, PC
Street 11311 BRIDGEPORT WAY SW STE 201
City LAKEWOOD
State WA
ZIP 98499
Phone 425 272-4600
CertificateType 4
CertificateEffectiveDate 1/20/2023
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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This page was last updated on: 4/23/2024