50D0632210 CLIA NUMBER - COUNTRY DOCTOR CLINIC LABORATORY

Laboratory Demographics

CLIA Number: 50D0632210

Facility Name: COUNTRY DOCTOR CLINIC LABORATORY

Facility Address:
500 19TH AVE E
SEATTLE, WA
ZIP 98112
Get Directions

Facility Phone Number: 206 299-1600

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1629055900

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D0632210
LAB Type	Community Clinic
Facility Name	COUNTRY DOCTOR CLINIC LABORATORY
Street	500 19TH AVE E
City	SEATTLE
State	WA
ZIP	98112
Phone	206 299-1600
CertificateType	2
CertificateEffectiveDate	11/1/1993
CertificateExpirationDate	4/4/2028
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024