50D0630803 CLIA NUMBER - CORNERSTONE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 50D0630803
  • Facility Name: CORNERSTONE PRIMARY CARE
  • Facility Address: 17900 TALBOT ROAD S, SUITE 102
    RENTON, WA
    ZIP 98055
  • Facility Phone: 425 255-9310
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CRAIG H. MCGORAN
  • NPI Number: 1841681707
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0630803
LAB Type Physician Office
Facility Name CORNERSTONE PRIMARY CARE
Street 17900 TALBOT ROAD S, SUITE 102
City RENTON
State WA
ZIP 98055
Phone 425 255-9310
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/30/1996
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director CRAIG H. MCGORAN

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