50D1034861 CLIA NUMBER - MERIDIAN MEDICINE

Laboratory Demographics

  • CLIA Code: 50D1034861
  • Facility Name: MERIDIAN MEDICINE
  • Facility Address: 2111 N NORTHGATE WAY STE 201
    SEATTLE, WA
    ZIP 98133
  • Facility Phone: 206 525-8015
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONA FAHOUM
  • NPI Number: 1205132560
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1034861
LAB Type Physician Office
Facility Name MERIDIAN MEDICINE
Street 2111 N NORTHGATE WAY STE 201
City SEATTLE
State WA
ZIP 98133
Phone 206 525-8015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MONA FAHOUM

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