50D0898334 CLIA NUMBER - OVERLAKE FAMILY PRACTICE, PS

Laboratory Demographics

  • CLIA Code: 50D0898334
  • Facility Name: OVERLAKE FAMILY PRACTICE, PS
  • Facility Address: 1048 W LAKE SAMMAMISH PKWY NE
    BELLEVUE, WA
    ZIP 98008
  • Facility Phone: 425 562-2000
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: MARTINE S. LEWIS
  • NPI Number: 1386923654
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0898334
LAB Type Practitioner Other
Facility Name OVERLAKE FAMILY PRACTICE, PS
Street 1048 W LAKE SAMMAMISH PKWY NE
City BELLEVUE
State WA
ZIP 98008
Phone 425 562-2000
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 7/26/1996
Certificate Expiration Date 4/4/2028
Facility Type Practitioner Other
Lab Director MARTINE S. LEWIS

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