50D0966896 CLIA NUMBER - LAKE WASHINGTON DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 50D0966896
  • Facility Name: LAKE WASHINGTON DERMATOLOGY
  • Facility Address: 10117 NE 58TH ST STE 200
    KIRKLAND, WA
    ZIP 98033
  • Facility Phone: 217 503-0983
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOAN LEAVENS
  • NPI Number: 1770894990
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0966896
LAB Type Physician Office
Facility Name LAKE WASHINGTON DERMATOLOGY
Street 10117 NE 58TH ST STE 200
City KIRKLAND
State WA
ZIP 98033
Phone 217 503-0983
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/15/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOAN LEAVENS

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