50D1078084 CLIA NUMBER - LILLITH CLINIC, THE

Laboratory Demographics

  • CLIA Code: 50D1078084
  • Facility Name: LILLITH CLINIC, THE
  • Facility Address: 9730 3RD AVE NE STE 200
    SEATTLE, WA
    ZIP 98115
  • Facility Phone: 206 985-9553
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: CHARLIE BROWNE
  • NPI Number: 1801078860
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1078084
LAB Type Other - CLINIC
Facility Name LILLITH CLINIC, THE
Street 9730 3RD AVE NE STE 200
City SEATTLE
State WA
ZIP 98115
Phone 206 985-9553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director CHARLIE BROWNE

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