50D0629327 CLIA NUMBER - DERMATOPATHOLOGY NORTHWEST, PLLC

Laboratory Demographics

  • CLIA Code: 50D0629327
  • Facility Name: DERMATOPATHOLOGY NORTHWEST, PLLC
  • Facility Address: 2330 130TH AVE NE STE 201
    BELLEVUE, WA
    ZIP 98005
  • Facility Phone: 425 455-9945
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN S. WALSH
  • NPI Number: 1932296092
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D0629327
LAB Type Independent
Facility Name DERMATOPATHOLOGY NORTHWEST, PLLC
Street 2330 130TH AVE NE STE 201
City BELLEVUE
State WA
ZIP 98005
Phone 425 455-9945
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/1/1993
Certificate Expiration Date 4/4/2028
Facility Type Independent
Lab Director JOHN S. WALSH

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