50D1087396 CLIA NUMBER - CAPITOL HILL MEDICAL

Laboratory Demographics

  • CLIA Code: 50D1087396
  • Facility Name: CAPITOL HILL MEDICAL
  • Facility Address: 901 BOREN AVE STE 705
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 720-9999
  • Facility Type: Mobile Laboratory
  • Facility Type: Microscopy
  • Lab Director: VY CHU
  • NPI Number: 1073787735
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 50D1087396
LAB Type Mobile Laboratory
Facility Name CAPITOL HILL MEDICAL
Street 901 BOREN AVE STE 705
City SEATTLE
State WA
ZIP 98104
Phone 206 720-9999
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 8/1/2008
Certificate Expiration Date 4/4/2028
Facility Type Mobile Laboratory
Lab Director VY CHU

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