50D0631661 CLIA NUMBER - LABORATORY CORPORATION OF AMERICA

Laboratory Demographics

  • CLIA Code: 50D0631661
  • Facility Name: LABORATORY CORPORATION OF AMERICA
  • Facility Address: 1101 MADISON ST STE 306
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 505-1283
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BONNIE M. DORNFELD
  • NPI Number: 1669740734
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D0631661
LAB Type Independent
Facility Name LABORATORY CORPORATION OF AMERICA
Street 1101 MADISON ST STE 306
City SEATTLE
State WA
ZIP 98104
Phone 206 505-1283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2019
Certificate Expiration Date 4/4/2028
Facility Type Independent
Lab Director BONNIE M. DORNFELD

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This page was last updated on: 6/4/2025