50D1043662 CLIA NUMBER - EDMONDS FAMILY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 50D1043662
  • Facility Name: EDMONDS FAMILY CARE, PLLC
  • Facility Address: 6101 200TH ST SW STE 208
    LYNNWOOD, WA
    ZIP 98036
  • Facility Phone: (425) 775-2066
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TANYA BRYANT
  • NPI Number: 1184751638
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1043662
LAB Type Physician Office
Facility Name EDMONDS FAMILY CARE, PLLC
Street 6101 200TH ST SW STE 208
City LYNNWOOD
State WA
ZIP 98036
Phone 4257752066
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 7/29/2005
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director TANYA BRYANT

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This page was last updated on: 6/29/2026