50D0688427 CLIA NUMBER - WESTSIDE DERMATOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 50D0688427
  • Facility Name: WESTSIDE DERMATOLOGY, PLLC
  • Facility Address: 4740 44TH AVENUE SW SUITE 200
    SEATTLE, WA
    ZIP 98116
  • Facility Phone: 206 937-8954
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KELLI R. ARNTZEN, MD
  • NPI Number: 1396862280
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D0688427
LAB Type Physician Office
Facility Name WESTSIDE DERMATOLOGY, PLLC
Street 4740 44TH AVENUE SW SUITE 200
City SEATTLE
State WA
ZIP 98116
Phone 206 937-8954
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 KELLI R. ARNTZEN, MD

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