50D2074407 CLIA NUMBER - JACKSON VISION CLINIC

Laboratory Demographics

  • CLIA Code: 50D2074407
  • Facility Name: JACKSON VISION CLINIC
  • Facility Address: 3324 RAINIER AVE S
    SEATTLE, WA
    ZIP 98144
  • Facility Phone: (206) 322-6915
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: HUY L. HOANG
  • NPI Number: 1215121140
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2074407
LAB Type Other - CLINIC
Facility Name JACKSON VISION CLINIC
Street 3324 RAINIER AVE S
City SEATTLE
State WA
ZIP 98144
Phone 2063226915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director HUY L. HOANG

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