GLENN A. PACIO
NPI 1255603874
Clinic/Center - Medical Specialty in University Place, WA

Active since January 27, 2012CLIA 50D1069082 · Waiver
5320 ORCHARD ST W, UNIVERSITY PLACE, WA 98467(253) 474-7100(253) 474-2677 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn A. Pacio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN A. PACIO (NPI 1255603874) is a healthcare organization registered as a medical specialty in University Place, Washington and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Glenn A Pacio, Owner, as its authorized official.

NPPES Registry Identity

NPI1255603874
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameORCHARD MEDICAL CLINIC
Location Address5320 ORCHARD ST WUniversity Place, WA 98467-3633
Mailing Address7501 92nd Avenue Ct SwLakewood, WA 98498-3973 · (253) 588-0058 · Fax (253) 589-4862
Fax(253) 474-2677
Organization SubpartYes
Authorized OfficialGlenn A PacioOwner · (253) 474-7100
Enumeration DateJanuary 27, 2012
Last NPPES UpdateFebruary 16, 2012
NPI 1255603874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in WA · MD000380965
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
5320 ORCHARD ST W, University Place, WA 98467

Other Names 1

Other NameGlenn A. Pacio

Other Identifiers 3

Other711938001WA · Group Health
Medicaid11155922WA
OtherP00850060GA · Railroad Medicaare

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D1069082

Orchard Medidcal Clinic · University Place, WA
Active · expires Apr 4, 2028
CLIA Number50D1069082
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2007
Certificate Expiration DateApril 4, 2028
Laboratory DirectorGlenn A. Pacio
Laboratory Phone(253) 474-7100
Laboratory LocationOrchard Medidcal Clinic5320 Orchard St W, University Place, WA 98467
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5320 ORCHARD ST W
UNIVERSITY PLACE, WA 98467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orchard Medical Clinic's NPI number?

The NPI number for Orchard Medical Clinic is 1255603874. It was assigned to this organization in the NPPES registry on January 27, 2012. The provider is also known as Glenn A. Pacio.

Where is Orchard Medical Clinic located?

Orchard Medical Clinic is located at 5320 Orchard St W, University Place, WA 98467. The listed phone number is (253) 474-7100.

What is Orchard Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Orchard Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1069082) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Orchard Medical Clinic accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Orchard Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Orchard Medical Clinic was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.