50D2193008 CLIA NUMBER - WASHINGTON GASTROENTEROLOGY RESEARCH

Laboratory Demographics

  • CLIA Code: 50D2193008
  • Facility Name: WASHINGTON GASTROENTEROLOGY RESEARCH
  • Facility Address: 1135 116TH AVE NE STE LL160
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 452-8547
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT WOHLMAN
  • NPI Number: 1962719302
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 50D2193008
LAB Type Physician Office
Facility Name WASHINGTON GASTROENTEROLOGY RESEARCH
Street 1135 116TH AVE NE STE LL160
City BELLEVUE
State WA
ZIP 98004
Phone 425 452-8547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2020
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ROBERT WOHLMAN

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