50D2048082 CLIA NUMBER - HOLISTIQUE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 50D2048082
  • Facility Name: HOLISTIQUE MEDICAL CENTER
  • Facility Address: 1200 116TH AVE NE STE C
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: (425) 451-0404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOOSHIN K. DARVISH
  • NPI Number: 1548474059
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 50D2048082
LAB Type Physician Office
Facility Name HOLISTIQUE MEDICAL CENTER
Street 1200 116TH AVE NE STE C
City BELLEVUE
State WA
ZIP 98004
Phone 4254510404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2012
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director NOOSHIN K. DARVISH

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