50D0631696 CLIA NUMBER - SEATTLE OBSTETRICS & GYNECOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 50D0631696
  • Facility Name: SEATTLE OBSTETRICS & GYNECOLOGY GROUP
  • Facility Address: 1101 MADISON ST STE 950
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 682-5800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER DROZ
  • NPI Number: 1336112713
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 50D0631696
LAB Type Physician Office
Facility Name SEATTLE OBSTETRICS & GYNECOLOGY GROUP
Street 1101 MADISON ST STE 950
City SEATTLE
State WA
ZIP 98104
Phone 206 682-5800
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 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JENNIFER DROZ

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