50D0993442 CLIA NUMBER - NORTHSHORE FAMILY PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 50D0993442
  • Facility Name: NORTHSHORE FAMILY PRACTICE PLLC
  • Facility Address: 12900 NE 180TH ST STE 100
    BOTHELL, WA
    ZIP 98011
  • Facility Phone: 425 424-2100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANANDA USMAN
  • NPI Number: 1881045409
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0993442
LAB Type Physician Office
Facility Name NORTHSHORE FAMILY PRACTICE PLLC
Street 12900 NE 180TH ST STE 100
City BOTHELL
State WA
ZIP 98011
Phone 425 424-2100
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 11/14/2001
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ANANDA USMAN

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