50D2088595 CLIA NUMBER - CELLNETIX PATHOLOGY

Laboratory Demographics

  • CLIA Code: 50D2088595
  • Facility Name: CELLNETIX PATHOLOGY
  • Facility Address: 21601 76TH AVE W
    EDMONDS, WA
    ZIP 98026
  • Facility Phone: 206 576-6050
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ALAN C. BOUDOUSQUIE
  • NPI Number: 1972563385
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 50D2088595
LAB Type Independent
Facility Name CELLNETIX PATHOLOGY
Street 21601 76TH AVE W
City EDMONDS
State WA
ZIP 98026
Phone 206 576-6050
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/29/2018
Certificate Expiration Date 4/4/2028
Facility Type Independent
Lab Director DR. ALAN C. BOUDOUSQUIE

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