Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
50D2117610
|
|
Clinical laboratory number
|
|
Lab Name
|
PARK PLACE
|
|
Laboratory Name
|
|
Lab Type
|
Other - RESIDENTIAL TREATMENT FAC
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
253-396-5261
|
|
Laboratory telephone number
|
|
Fax
|
253-779-8667
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
610 S YAKIMA
|
|
Primary location adress line
|
|
City
|
TACOMA
|
|
Primary location city name
|
|
State
|
WA
|
|
Primary location state name
|
|
Zip
|
98466
|
|
Primary location postal code
|