50D2180847 CLIA NUMBER - JKW MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 50D2180847
  • Facility Name: JKW MEDICAL GROUP
  • Facility Address: 11504 NE 21ST ST
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 698-3033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIAKUN WANG
  • NPI Number: 1023348497
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2180847
LAB Type Physician Office
Facility Name JKW MEDICAL GROUP
Street 11504 NE 21ST ST
City BELLEVUE
State WA
ZIP 98004
Phone 425 698-3033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2020
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JIAKUN WANG

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