50D0970381 CLIA NUMBER - RENTON PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 50D0970381
  • Facility Name: RENTON PEDIATRIC ASSOCIATES
  • Facility Address: 24837 104TH AVE SE STE 102
    KENT, WA
    ZIP 98030
  • Facility Phone: 206 854-1300
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DANIEL FRIEDMAN
  • NPI Number: 1225199474
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0970381
LAB Type Community Clinic
Facility Name RENTON PEDIATRIC ASSOCIATES
Street 24837 104TH AVE SE STE 102
City KENT
State WA
ZIP 98030
Phone 206 854-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director DANIEL FRIEDMAN

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