50D0954869 CLIA NUMBER - CASCADE KIDNEY SPECIALISTS PLLC

Laboratory Demographics

  • CLIA Code: 50D0954869
  • Facility Name: CASCADE KIDNEY SPECIALISTS PLLC
  • Facility Address: 1370 116TH AVE NE STE 209
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 453-8406
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PHILIP KING
  • NPI Number: 1124458310
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0954869
LAB Type Physician Office
Facility Name CASCADE KIDNEY SPECIALISTS PLLC
Street 1370 116TH AVE NE STE 209
City BELLEVUE
State WA
ZIP 98004
Phone 425 453-8406
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 5/7/2009
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director PHILIP KING

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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