50D1000603 CLIA NUMBER - KIRKLAND DERMATOLOGY ASSOCIATES, PLLC

Laboratory Demographics

  • CLIA Code: 50D1000603
  • Facility Name: KIRKLAND DERMATOLOGY ASSOCIATES, PLLC
  • Facility Address: 12333 NE 130TH LANE SUITE 330
    KIRKLAND, WA
    ZIP 98034
  • Facility Phone: 425 899-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAURIN A. LIKOSKY, MD
  • NPI Number: 1306225511
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D1000603
LAB Type Physician Office
Facility Name KIRKLAND DERMATOLOGY ASSOCIATES, PLLC
Street 12333 NE 130TH LANE SUITE 330
City KIRKLAND
State WA
ZIP 98034
Phone 425 899-3376
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 6/18/2002
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director LAURIN A. LIKOSKY, MD

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