50D2126416 CLIA NUMBER - ONE MEDICAL WITH VMMC

Laboratory Demographics

  • CLIA Code: 50D2126416
  • Facility Name: ONE MEDICAL WITH VMMC
  • Facility Address: 10400 NE 4TH ST STE 2250 - COMMERCIAL
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 274-1003
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SIBYL C. SIEGFRIED
  • NPI Number: 1073553947
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2126416
LAB Type Physician Office
Facility Name ONE MEDICAL WITH VMMC
Street 10400 NE 4TH ST STE 2250 - COMMERCIAL
City BELLEVUE
State WA
ZIP 98004
Phone 425 274-1003
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/27/2017
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director SIBYL C. SIEGFRIED

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