50D2170091 CLIA NUMBER - UW MEDICINE DIABETES INSTITUTE SOUTH LAKE UNION

Laboratory Demographics

  • CLIA Code: 50D2170091
  • Facility Name: UW MEDICINE DIABETES INSTITUTE SOUTH LAKE UNION
  • Facility Address: 750 REPUBLICAN ST MS 358064
    SEATTLE, WA
    ZIP 98109
  • Facility Phone: 206 520-8610
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: SUBBULAXMI TRIKUDANATHAN
  • NPI Number: 1457904625
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2170091
LAB Type Other - CLINIC
Facility Name UW MEDICINE DIABETES INSTITUTE SOUTH LAKE UNION
Street 750 REPUBLICAN ST MS 358064
City SEATTLE
State WA
ZIP 98109
Phone 206 520-8610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2019
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director SUBBULAXMI TRIKUDANATHAN

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