50D2095094 CLIA NUMBER - STEPPING STONE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 50D2095094
  • Facility Name: STEPPING STONE PEDIATRICS
  • Facility Address: 15710 NE 24TH ST STE A
    BELLEVUE, WA
    ZIP 98008
  • Facility Phone: 425 941-9540
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KEVY WIJAYA
  • NPI Number: 1083972996
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 50D2095094
LAB Type Practitioner Other
Facility Name STEPPING STONE PEDIATRICS
Street 15710 NE 24TH ST STE A
City BELLEVUE
State WA
ZIP 98008
Phone 425 941-9540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2015
Certificate Expiration Date 4/4/2028
Facility Type Practitioner Other
Lab Director KEVY WIJAYA

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