50D1052747 CLIA NUMBER - NORTH PACIFIC DERMATOLOGY, PS

Laboratory Demographics

  • CLIA Code: 50D1052747
  • Facility Name: NORTH PACIFIC DERMATOLOGY, PS
  • Facility Address: 3721 TALBOT RD S
    RENTON, WA
    ZIP 98055
  • Facility Phone: 425 264-0660
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NICOLE P. KAGEYAMA
  • NPI Number: 1881845907
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1052747
LAB Type Physician Office
Facility Name NORTH PACIFIC DERMATOLOGY, PS
Street 3721 TALBOT RD S
City RENTON
State WA
ZIP 98055
Phone 425 264-0660
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 7/25/2024
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director NICOLE P. KAGEYAMA

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