50D2275756 CLIA NUMBER - PRUDY MEDICAL

Laboratory Demographics

  • CLIA Code: 50D2275756
  • Facility Name: PRUDY MEDICAL
  • Facility Address: 6718 144TH ST NW
    GIG HARBOR, WA
    ZIP 98332
  • Facility Phone: 253 857-6166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIA CATHCART-CHANG
  • NPI Number: 1790519015
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2275756
LAB Type Physician Office
Facility Name PRUDY MEDICAL
Street 6718 144TH ST NW
City GIG HARBOR
State WA
ZIP 98332
Phone 253 857-6166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JULIA CATHCART-CHANG

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