50D2163239 CLIA NUMBER - ENTRE HERMANOS

Laboratory Demographics

  • CLIA Code: 50D2163239
  • Facility Name: ENTRE HERMANOS
  • Facility Address: 1105 23RD AVE
    SEATTLE, WA
    ZIP 98122
  • Facility Phone: 206 322-7700
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. PARCHMAN
  • NPI Number: 1912245754
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 50D2163239
LAB Type Community Clinic
Facility Name ENTRE HERMANOS
Street 1105 23RD AVE
City SEATTLE
State WA
ZIP 98122
Phone 206 322-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2019
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director MICHAEL L. PARCHMAN

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