50D0882473 CLIA NUMBER - CORAM CVS - SPECIALTY INFUSION SERVICES

Laboratory Demographics

  • CLIA Code: 50D0882473
  • Facility Name: CORAM CVS - SPECIALTY INFUSION SERVICES
  • Facility Address: 14935 NE 87TH ST STE 101
    REDMOND, WA
    ZIP 98052
  • Facility Phone: 425 883-3525
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: STEVEN BALEE
  • NPI Number: 1750672903
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0882473
LAB Type Other
Facility Name CORAM CVS - SPECIALTY INFUSION SERVICES
Street 14935 NE 87TH ST STE 101
City REDMOND
State WA
ZIP 98052
Phone 425 883-3525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/1994
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director STEVEN BALEE

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This page was last updated on: 3/20/2025