50D2205665 CLIA NUMBER - NORTHGATE PLAZA

Laboratory Demographics

  • CLIA Code: 50D2205665
  • Facility Name: NORTHGATE PLAZA
  • Facility Address: 11030 5TH AVE NE
    SEATTLE, WA
    ZIP 98125
  • Facility Phone: 206 363-6740
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE WORCESTER
  • NPI Number: 1467549410
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 50D2205665
LAB Type Assisted Living Facility
Facility Name NORTHGATE PLAZA
Street 11030 5TH AVE NE
City SEATTLE
State WA
ZIP 98125
Phone 206 363-6740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2020
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director MICHELLE WORCESTER

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