50D0631822 CLIA NUMBER - FRONTIER DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 50D0631822
  • Facility Name: FRONTIER DERMATOLOGY
  • Facility Address: 3216 NE 45TH PL STE 203
    SEATTLE, WA
    ZIP 98105
  • Facility Phone: 206 525-1108
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEAN B. LAWLOR
  • NPI Number: 1639737018
  • Taxonomy: 103TB0200X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 50D0631822
LAB Type Physician Office
Facility Name FRONTIER DERMATOLOGY
Street 3216 NE 45TH PL STE 203
City SEATTLE
State WA
ZIP 98105
Phone 206 525-1108
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 4/17/2025
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director KEAN B. LAWLOR

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