50D1092364 CLIA NUMBER - VALLEY DIAGNOSTIC IMAGING SERVICES

Laboratory Demographics

  • CLIA Code: 50D1092364
  • Facility Name: VALLEY DIAGNOSTIC IMAGING SERVICES
  • Facility Address: 400 S 43RD ST
    RENTON, WA
    ZIP 98055
  • Facility Phone: 425 656-5550
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PYONG KIM, MD
  • NPI Number: 1215918081
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D1092364
LAB Type Community Clinic
Facility Name VALLEY DIAGNOSTIC IMAGING SERVICES
Street 400 S 43RD ST
City RENTON
State WA
ZIP 98055
Phone 425 656-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2008
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director PYONG KIM, MD

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