50D2278542 CLIA NUMBER - SYCAMORE CARE

Laboratory Demographics

  • CLIA Code: 50D2278542
  • Facility Name: SYCAMORE CARE
  • Facility Address: 3467 STANFIELD RD SE
    LACEY, WA
    ZIP 98503
  • Facility Phone: 360 915-8552
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: JOVY BENNETT

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CLIA Record

Field Name Field Value
CLIA Number 50D2278542
LAB Type Other - AFH
Facility Name SYCAMORE CARE
Street 3467 STANFIELD RD SE
City LACEY
State WA
ZIP 98503
Phone 360 915-8552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director JOVY BENNETT

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This page was last updated on: 6/4/2025