50D2112070 CLIA NUMBER - SWEDISH EDMONDS INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2112070
  • Facility Name: SWEDISH EDMONDS INTERNAL MEDICINE
  • Facility Address: 7320 216TH ST SW STE 200
    EDMONDS, WA
    ZIP 98026
  • Facility Phone: 425 640-4911
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: JUNGEUN LEE
  • NPI Number: 1770899189
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2112070
LAB Type Other - CLINIC
Facility Name SWEDISH EDMONDS INTERNAL MEDICINE
Street 7320 216TH ST SW STE 200
City EDMONDS
State WA
ZIP 98026
Phone 425 640-4911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2016
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director JUNGEUN LEE

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