50D2095250 CLIA NUMBER - MODERN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 50D2095250
  • Facility Name: MODERN DERMATOLOGY
  • Facility Address: 1021 MERCER ST
    SEATTLE, WA
    ZIP 98109
  • Facility Phone: 206 489-2530
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HEATHER D. ROGERS
  • NPI Number: 1790178010
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D2095250
LAB Type Physician Office
Facility Name MODERN DERMATOLOGY
Street 1021 MERCER ST
City SEATTLE
State WA
ZIP 98109
Phone 206 489-2530
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 5/4/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director HEATHER D. ROGERS

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