50D2157122 CLIA NUMBER - NORTHWEST GERIATRICS

Laboratory Demographics

  • CLIA Code: 50D2157122
  • Facility Name: NORTHWEST GERIATRICS
  • Facility Address: 9725 SE 36TH ST STE 214
    MERCER ISLAND, WA
    ZIP 98040
  • Facility Phone: 206 275-3588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN H. ADDISON
  • NPI Number: 1497706774
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2157122
LAB Type Physician Office
Facility Name NORTHWEST GERIATRICS
Street 9725 SE 36TH ST STE 214
City MERCER ISLAND
State WA
ZIP 98040
Phone 206 275-3588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2018
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JOHN H. ADDISON

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This page was last updated on: 6/4/2025