50D2004897 CLIA NUMBER - SEATTLE CHILDRENS BELLEVUE CLINIC AND SURGERY CTR

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Laboratory Demographics

CLIA Number: 50D2004897

Facility Name: SEATTLE CHILDRENS BELLEVUE CLINIC AND SURGERY CTR

Facility Address:
1500 116TH AVE NE
BELLEVUE, WA
ZIP 98004
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Facility Phone Number: 206 987-4099

Facility Type: Other - CLINIC

Certificate Type: Accreditation

NPI Number: 1861630154

Taxonomy: 363LN0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	50D2004897
LAB Type	Other - CLINIC
Facility Name	SEATTLE CHILDRENS BELLEVUE CLINIC AND SURGERY CTR
Street	1500 116TH AVE NE
City	BELLEVUE
State	WA
ZIP	98004
Phone	206 987-4099
CertificateType	1
CertificateEffectiveDate	3/15/2010
CertificateExpirationDate	4/4/2028
FacilityType	Accreditation

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This page was last updated on: 4/23/2024