50D2192758 CLIA NUMBER - GENOA HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 50D2192758
  • Facility Name: GENOA HEALTHCARE LLC
  • Facility Address: 11000 LAKE CITY WAY NE STE 421
    SEATTLE, WA
    ZIP 98125
  • Facility Phone: 206 480-0100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KANCHAN K. NIRGUN
  • NPI Number: 1235649609
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2192758
LAB Type Pharmacy
Facility Name GENOA HEALTHCARE LLC
Street 11000 LAKE CITY WAY NE STE 421
City SEATTLE
State WA
ZIP 98125
Phone 206 480-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director KANCHAN K. NIRGUN

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