50D0630269 CLIA NUMBER - EASTSIDE OB/GYN

Laboratory Demographics

CLIA Number: 50D0630269

Facility Name: EASTSIDE OB/GYN

Facility Address:
12303 NE 130TH LN STE 230
KIRKLAND, WA
ZIP 98034
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Facility Phone Number: 425 899-5000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1538112446

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	50D0630269
LAB Type	Physician Office
Facility Name	EASTSIDE OB/GYN
Street	12303 NE 130TH LN STE 230
City	KIRKLAND
State	WA
ZIP	98034
Phone	425 899-5000
CertificateType	3
CertificateEffectiveDate	9/1/1992
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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This page was last updated on: 4/23/2024