50D2211453 CLIA NUMBER - NW MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 50D2211453
  • Facility Name: NW MEDICAL LLC
  • Facility Address: 40 LAKE BELLEVUE DR STE 100
    BELLEVUE, WA
    ZIP 98005
  • Facility Phone: 425 243-7658
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. DUNN
  • NPI Number: 1497214399
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2211453
LAB Type Physician Office
Facility Name NW MEDICAL LLC
Street 40 LAKE BELLEVUE DR STE 100
City BELLEVUE
State WA
ZIP 98005
Phone 425 243-7658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2021
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MATTHEW J. DUNN

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