50D2048226 CLIA NUMBER - EDMONDS HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 50D2048226
  • Facility Name: EDMONDS HEALTH CLINIC
  • Facility Address: 221 4TH AVE N
    EDMONDS, WA
    ZIP 98020
  • Facility Phone: 425 697-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLA BOSTANJIAN
  • NPI Number: 1649553538
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2048226
LAB Type Physician Office
Facility Name EDMONDS HEALTH CLINIC
Street 221 4TH AVE N
City EDMONDS
State WA
ZIP 98020
Phone 425 697-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2012
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ELLA BOSTANJIAN

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