50D2286708 CLIA NUMBER - SOUTHCENTER MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 50D2286708
  • Facility Name: SOUTHCENTER MEDICAL CLINIC
  • Facility Address: 15215 52ND AVE S STE 204
    TUKWILA, WA
    ZIP 98188
  • Facility Phone: 206 414-9412
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HONG-DANH NGO
  • NPI Number: 1427741727
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2286708
LAB Type Community Clinic
Facility Name SOUTHCENTER MEDICAL CLINIC
Street 15215 52ND AVE S STE 204
City TUKWILA
State WA
ZIP 98188
Phone 206 414-9412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2023
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director HONG-DANH NGO

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This page was last updated on: 3/20/2025