50D2319397 CLIA NUMBER - MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL - POCT

Laboratory Demographics

  • CLIA Code: 50D2319397
  • Facility Name: MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL - POCT
  • Facility Address: 317 MARTIN LUTHER KING JR WAY
    TACOMA, WA
    ZIP 98405
  • Facility Phone: 253 403-1000
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JOSHUA ANDERSON
  • NPI Number: 1063711562
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 50D2319397
LAB Type Hospital
Facility Name MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL - POCT
Street 317 MARTIN LUTHER KING JR WAY
City TACOMA
State WA
ZIP 98405
Phone 253 403-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 4/4/2028
Facility Type Hospital
Lab Director JOSHUA ANDERSON

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