Tacoma-Pierce County Health Department is birth certificates, restaurant complaints, septic, and some clinics. It is not the ER. Last checked August 29, 2026. Program hours inside the building are not the same as the lobby hours.
Main campus
3629 S. D Street, Tacoma, WA 98418 (use the Pacific Avenue lot)
Main: (253) 649-1500 · toll-free (800) 330-1844 · TDD (253) 649-1400
info@tpchd.org
Building hours: Monday–Friday 8 a.m.–4:30 p.m.
Contact · Hours
The lines people actually need
- Vital records (birth/death): (253) 649-1401 — same weekday hours; last Tuesday of the month opens at 9:30 a.m.
- Environmental health: (253) 649-1420
- Food and community safety: (253) 649-1417 · food-establishment plan review (253) 649-1706
- Communicable disease (providers): (253) 649-1412, press 0 weekdays · 24-hour reporting (253) 649-1413
- Public-health emergency / duty officer: (253) 649-1500
- Key Peninsula office: Thursdays 11 a.m.–2 p.m., (253) 432-4948
Clinic on D Street
Official: Public Health Clinic. Walk-ins for listed services. Sexual health Monday–Friday 8–11:30 a.m. Opioid-use treatment Monday–Friday 5–11:30 a.m., Saturday 5–8:30 a.m. Those windows move. Call before you sit in the lot.
Chest pain, stroke, overdose in progress: 911. Personal medical care: your own clinic.