50D2126759 CLIA NUMBER - SWEDISH MEDICAL CENTER BALLARD FAMILY MED POCT

Laboratory Demographics

  • CLIA Code: 50D2126759
  • Facility Name: SWEDISH MEDICAL CENTER BALLARD FAMILY MED POCT
  • Facility Address: 1801 NW MARKET ST STE 403
    SEATTLE, WA
    ZIP 98107
  • Facility Phone: 206 297-5100
  • Facility Type: Other - CLINIC
  • Facility Type: Microscopy
  • Lab Director: MARK A. JOHNSON
  • NPI Number: 1902355654
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 50D2126759
LAB Type Other - CLINIC
Facility Name SWEDISH MEDICAL CENTER BALLARD FAMILY MED POCT
Street 1801 NW MARKET ST STE 403
City SEATTLE
State WA
ZIP 98107
Phone 206 297-5100
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 3/3/2017
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director MARK A. JOHNSON

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