50D2007070 CLIA NUMBER - OLYMPIC VIEW DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 50D2007070
  • Facility Name: OLYMPIC VIEW DIALYSIS CENTER
  • Facility Address: 125 16TH AVE E 5TH FL
    SEATTLE, WA
    ZIP 98112
  • Facility Phone: 206 323-8900
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JILLIAN HANSEN
  • NPI Number: 1396709432
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2007070
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OLYMPIC VIEW DIALYSIS CENTER
Street 125 16TH AVE E 5TH FL
City SEATTLE
State WA
ZIP 98112
Phone 206 323-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2010
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JILLIAN HANSEN

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