50D0631626 CLIA NUMBER - DYNACARE NORTHWEST INC

Laboratory Demographics

  • CLIA Code: 50D0631626
  • Facility Name: DYNACARE NORTHWEST INC
  • Facility Address: 1221 MADISON ST STE 220
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 861-7014
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KRISTIN MANTEI
  • NPI Number: 1710143557
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D0631626
LAB Type Physician Office
Facility Name DYNACARE NORTHWEST INC
Street 1221 MADISON ST STE 220
City SEATTLE
State WA
ZIP 98104
Phone 206 861-7014
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 Physician Office
Lab Director KRISTIN MANTEI

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