50D2069579 CLIA NUMBER - VIDA INTEGRATED HEALTH

Laboratory Demographics

  • CLIA Code: 50D2069579
  • Facility Name: VIDA INTEGRATED HEALTH
  • Facility Address: 4915 25TH AVE NE STE 104
    SEATTLE, WA
    ZIP 98105
  • Facility Phone: (206) 315-7998
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE LEARY-CHANG
  • NPI Number: 1538645288
  • Taxonomy: 111NS0005X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 50D2069579
LAB Type Physician Office
Facility Name VIDA INTEGRATED HEALTH
Street 4915 25TH AVE NE STE 104
City SEATTLE
State WA
ZIP 98105
Phone 2063157998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2013
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MICHELLE LEARY-CHANG

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