50D2104979 CLIA NUMBER - HIGHLAND VISION CLINIC

Laboratory Demographics

  • CLIA Code: 50D2104979
  • Facility Name: HIGHLAND VISION CLINIC
  • Facility Address: 701 N 182ND ST STE 101
    SHORELINE, WA
    ZIP 98133
  • Facility Phone: 206 542-7406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN L. OTTO
  • NPI Number: 1255406351
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2104979
LAB Type Physician Office
Facility Name HIGHLAND VISION CLINIC
Street 701 N 182ND ST STE 101
City SHORELINE
State WA
ZIP 98133
Phone 206 542-7406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOHN L. OTTO

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