50D0631667 CLIA NUMBER - THE POLYCLINIC, DBA OPTUM CARE WASHINGTON

Laboratory Demographics

  • CLIA Code: 50D0631667
  • Facility Name: THE POLYCLINIC, DBA OPTUM CARE WASHINGTON
  • Facility Address: 904 7TH AVE
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 860-4400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: THOMAS A. DEAN
  • NPI Number: 1962824219
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 50D0631667
LAB Type Physician Office
Facility Name THE POLYCLINIC, DBA OPTUM CARE WASHINGTON
Street 904 7TH AVE
City SEATTLE
State WA
ZIP 98104
Phone 206 860-4400
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 THOMAS A. DEAN

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