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50D2093381 CLIA NUMBER - INTERACTIVE HEALTH CLINIC

Laboratory Demographics

CLIA Number: 50D2093381

Facility Name: INTERACTIVE HEALTH CLINIC

Facility Address:
16108 ASH WAY STE 109
LYNNWOOD, WA
ZIP 98087
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Facility Phone Number: 425 361-7945

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1780973859

Taxonomy: 175F00000X - Naturopath
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

CLIA Record

Field Name Field Value
CLIA Number 50D2093381
LAB Type Physician Office
Facility Name INTERACTIVE HEALTH CLINIC
Street 16108 ASH WAY STE 109
City LYNNWOOD
State WA
ZIP 98087
Phone 425 361-7945
CertificateType 4
CertificateEffectiveDate 3/25/2015
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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This page was last updated on: 4/23/2024