50D2011385 CLIA NUMBER - NORTHWEST ASTHMA AND ALLERGY CENTER

Laboratory Demographics

  • CLIA Code: 50D2011385
  • Facility Name: NORTHWEST ASTHMA AND ALLERGY CENTER
  • Facility Address: 1412 SW 43RD ST STE 210
    RENTON, WA
    ZIP 98055
  • Facility Phone: (425) 235-1716
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRANK S. VIRANT
  • NPI Number: 1457565459
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 50D2011385
LAB Type Physician Office
Facility Name NORTHWEST ASTHMA AND ALLERGY CENTER
Street 1412 SW 43RD ST STE 210
City RENTON
State WA
ZIP 98055
Phone 4252351716
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 6/15/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director FRANK S. VIRANT

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