50D2206350 CLIA NUMBER - INTEGRATIVE DENTISTRY

Laboratory Demographics

  • CLIA Code: 50D2206350
  • Facility Name: INTEGRATIVE DENTISTRY
  • Facility Address: 9730 3RD AVE NE STE 205
    SEATTLE, WA
    ZIP 98115
  • Facility Phone: 206 367-6453
  • Facility Type: Other - DENTAL OFFICE
  • Facility Type: Waiver
  • Lab Director: BRAMLEY BIRRER
  • NPI Number: 1306346028
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D2206350
LAB Type Other - DENTAL OFFICE
Facility Name INTEGRATIVE DENTISTRY
Street 9730 3RD AVE NE STE 205
City SEATTLE
State WA
ZIP 98115
Phone 206 367-6453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Other - DENTAL OFFICE
Lab Director BRAMLEY BIRRER

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