50D2041864 CLIA NUMBER - CROSSOVER HEALTH

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Laboratory Demographics

CLIA Number: 50D2041864

Facility Name: CROSSOVER HEALTH

Facility Address:
3925 159TH AVE NE BLDG 21
REDMOND, WA
ZIP 98052
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Facility Phone Number: 425 216-0550

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821510777

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	50D2041864
LAB Type	Physician Office
Facility Name	CROSSOVER HEALTH
Street	3925 159TH AVE NE BLDG 21
City	REDMOND
State	WA
ZIP	98052
Phone	425 216-0550
CertificateType	4
CertificateEffectiveDate	8/23/2012
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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