50D0631906 CLIA NUMBER - ODESSA BROWN CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 50D0631906
  • Facility Name: ODESSA BROWN CHILDREN'S CLINIC
  • Facility Address: 3939 S OTHELLO ST STE 101
    SEATTLE, WA
    ZIP 98122
  • Facility Phone: 206 987-1403
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: HEATHER HENNE
  • NPI Number: 1952433369
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0631906
LAB Type Community Clinic
Facility Name ODESSA BROWN CHILDREN'S CLINIC
Street 3939 S OTHELLO ST STE 101
City SEATTLE
State WA
ZIP 98122
Phone 206 987-1403
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 11/14/1994
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director HEATHER HENNE

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