50D2005783 CLIA NUMBER - NORTHWEST FACE

Laboratory Demographics

  • CLIA Code: 50D2005783
  • Facility Name: NORTHWEST FACE
  • Facility Address: 3100 CARILLON PT
    KIRKLAND, WA
    ZIP 98033
  • Facility Phone: (425) 576-1700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAVAD SAJAN
  • NPI Number: 1750401147
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2005783
LAB Type Physician Office
Facility Name NORTHWEST FACE
Street 3100 CARILLON PT
City KIRKLAND
State WA
ZIP 98033
Phone 4255761700
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 4/5/2010
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JAVAD SAJAN

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This page was last updated on: 5/18/2026