50D2094465 CLIA NUMBER - MADRONA DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 50D2094465
  • Facility Name: MADRONA DERMATOLOGY PLLC
  • Facility Address: 13118 120TH AVE NE
    KIRKLAND, WA
    ZIP 98034
  • Facility Phone: 425 298-4951
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SARAH E. DICK
  • NPI Number: 1679963367
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D2094465
LAB Type Physician Office
Facility Name MADRONA DERMATOLOGY PLLC
Street 13118 120TH AVE NE
City KIRKLAND
State WA
ZIP 98034
Phone 425 298-4951
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 4/17/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director SARAH E. DICK

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