50D2207170 CLIA NUMBER - EASTSIDE INTEGRATIVE MEDICINE AND FIRST RESPONDER WELLNESS

Laboratory Demographics

  • CLIA Code: 50D2207170
  • Facility Name: EASTSIDE INTEGRATIVE MEDICINE AND FIRST RESPONDER WELLNESS
  • Facility Address: 3922 148TH ST SE SUITE 203
    BOTHELL, WA
    ZIP 98012
  • Facility Phone: 425 225-5310
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER WALTERS
  • NPI Number: 1093316614
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 50D2207170
LAB Type Physician Office
Facility Name EASTSIDE INTEGRATIVE MEDICINE AND FIRST RESPONDER WELLNESS
Street 3922 148TH ST SE SUITE 203
City BOTHELL
State WA
ZIP 98012
Phone 425 225-5310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JENNIFER WALTERS

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