50D2053562 CLIA NUMBER - SUSAN KUPFERMAN, MD

Laboratory Demographics

  • CLIA Code: 50D2053562
  • Facility Name: SUSAN KUPFERMAN, MD
  • Facility Address: 1600 116TH AVE NE STE 104
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 454-0345
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUSAN KUPFERMAN
  • NPI Number: 1659479830
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 50D2053562
LAB Type Physician Office
Facility Name SUSAN KUPFERMAN, MD
Street 1600 116TH AVE NE STE 104
City BELLEVUE
State WA
ZIP 98004
Phone 425 454-0345
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 2/4/2013
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director SUSAN KUPFERMAN

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