50D0632049 CLIA NUMBER - THE POLYCLINIC BALLARD

Laboratory Demographics

  • CLIA Code: 50D0632049
  • Facility Name: THE POLYCLINIC BALLARD
  • Facility Address: 1448 NW MARKET ST STE 200
    SEATTLE, WA
    ZIP 98107
  • Facility Phone: 206 329-1760
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN STREIDL
  • NPI Number: 1982149761
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0632049
LAB Type Physician Office
Facility Name THE POLYCLINIC BALLARD
Street 1448 NW MARKET ST STE 200
City SEATTLE
State WA
ZIP 98107
Phone 206 329-1760
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 1/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOHN STREIDL

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