50D0630045 CLIA NUMBER - VIRGINIA MASON FRANCISCAN HEALTH ISSAQUAH

Laboratory Demographics

  • CLIA Code: 50D0630045
  • Facility Name: VIRGINIA MASON FRANCISCAN HEALTH ISSAQUAH
  • Facility Address: 100 NE GILMAN BLVD
    ISSAQUAH, WA
    ZIP 98027
  • Facility Phone: 425 557-8000
  • Facility Type: Other
  • Facility Type: Certificate of Compliance
  • Lab Director: S NICHOLAS AGOFF
  • NPI Number: 1316900970
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 50D0630045
LAB Type Other
Facility Name VIRGINIA MASON FRANCISCAN HEALTH ISSAQUAH
Street 100 NE GILMAN BLVD
City ISSAQUAH
State WA
ZIP 98027
Phone 425 557-8000
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 Other
Lab Director S NICHOLAS AGOFF

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