50D0892697 CLIA NUMBER - INSTITUTE OF COMPLEMENTARY MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 50D0892697
  • Facility Name: INSTITUTE OF COMPLEMENTARY MEDICINE LLC
  • Facility Address: 1600 E JEFFERSON ST STE 603
    SEATTLE, WA
    ZIP 98122
  • Facility Phone: 206 726-0034
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIM CELMER
  • NPI Number: 1326458910
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 50D0892697
LAB Type Physician Office
Facility Name INSTITUTE OF COMPLEMENTARY MEDICINE LLC
Street 1600 E JEFFERSON ST STE 603
City SEATTLE
State WA
ZIP 98122
Phone 206 726-0034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2004
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director KIM CELMER

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