50D0630705 CLIA NUMBER - INTERLAKE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 50D0630705
  • Facility Name: INTERLAKE MEDICAL CENTER
  • Facility Address: 2103 152ND NE
    REDMOND, WA
    ZIP 98052
  • Facility Phone: 425 746-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NORMAN LEOU
  • NPI Number: 1619998978
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0630705
LAB Type Physician Office
Facility Name INTERLAKE MEDICAL CENTER
Street 2103 152ND NE
City REDMOND
State WA
ZIP 98052
Phone 425 746-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director NORMAN LEOU

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