50D2025765 CLIA NUMBER - DYNACARE NORTHWEST INC

Laboratory Demographics

  • CLIA Code: 50D2025765
  • Facility Name: DYNACARE NORTHWEST INC
  • Facility Address: 751 NE BLAKELEY DR FLR G
    ISSAQUAH, WA
    ZIP 98029
  • Facility Phone: 425 394-0550
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. KRISTIN M. MANTEI
  • NPI Number: 1114200425
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D2025765
LAB Type Independent
Facility Name DYNACARE NORTHWEST INC
Street 751 NE BLAKELEY DR FLR G
City ISSAQUAH
State WA
ZIP 98029
Phone 425 394-0550
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/16/2011
Certificate Expiration Date 4/4/2028
Facility Type Independent
Lab Director DR. KRISTIN M. MANTEI

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