50D1062776 CLIA NUMBER - THE POLYCLINIC NORTHGATE PLAZA

Laboratory Demographics

  • CLIA Code: 50D1062776
  • Facility Name: THE POLYCLINIC NORTHGATE PLAZA
  • Facility Address: 9709 3RD AVE NE FL 3
    SEATTLE, WA
    ZIP 98115
  • Facility Phone: 206 860-4796
  • Facility Type: Other
  • Facility Type: Certificate of Compliance
  • Lab Director: GEORGE W. GO
  • NPI Number: 1306226170
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D1062776
LAB Type Other
Facility Name THE POLYCLINIC NORTHGATE PLAZA
Street 9709 3RD AVE NE FL 3
City SEATTLE
State WA
ZIP 98115
Phone 206 860-4796
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/1/2007
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director GEORGE W. GO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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