50D0931679 CLIA NUMBER - SEATTLE CHILDREN'S HOSPITAL

Laboratory Demographics

CLIA Number: 50D0931679

Facility Name: SEATTLE CHILDREN'S HOSPITAL

Facility Address:
4800 SAND POINT WAY NE M/S FB.4.510, ATTN AMY HENRIQUES
SEATTLE, WA
ZIP 98105
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Facility Phone Number: 206 987-1403

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Microscopy

NPI Number: 1114398872

Taxonomy: 101Y00000X - Counselor
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

CLIA Record

Field Name	Field Value
CLIA Number	50D0931679
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	SEATTLE CHILDREN'S HOSPITAL
Street	4800 SAND POINT WAY NE M/S FB.4.510, ATTN AMY HENRIQUES
City	SEATTLE
State	WA
ZIP	98105
Phone	206 987-1403
CertificateType	3
CertificateEffectiveDate	8/4/1997
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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