50D2160644 CLIA NUMBER - PROLIANCE BONE AND JOINT URGENT CARE

Laboratory Demographics

  • CLIA Code: 50D2160644
  • Facility Name: PROLIANCE BONE AND JOINT URGENT CARE
  • Facility Address: 150 ANDOVER PARK W
    TUKWILA, WA
    ZIP 98188
  • Facility Phone: 425 979-2663
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: FREDRICK G. HUANG
  • NPI Number: 1972073799
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2160644
LAB Type Other - CLINIC
Facility Name PROLIANCE BONE AND JOINT URGENT CARE
Street 150 ANDOVER PARK W
City TUKWILA
State WA
ZIP 98188
Phone 425 979-2663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2019
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director FREDRICK G. HUANG

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