50D2123730 CLIA NUMBER - PROLIANCE PROORTHO ORTHOPEDICS SPORTS, JOINTS AND SPINE

Laboratory Demographics

  • CLIA Code: 50D2123730
  • Facility Name: PROLIANCE PROORTHO ORTHOPEDICS SPORTS, JOINTS AND SPINE
  • Facility Address: 12911 120TH AVE NE STE H210
    KIRKLAND, WA
    ZIP 98034
  • Facility Phone: 425 823-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL E. NELSON
  • NPI Number: 1669411617
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2123730
LAB Type Physician Office
Facility Name PROLIANCE PROORTHO ORTHOPEDICS SPORTS, JOINTS AND SPINE
Street 12911 120TH AVE NE STE H210
City KIRKLAND
State WA
ZIP 98034
Phone 425 823-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2016
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DANIEL E. NELSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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