50D2211607 CLIA NUMBER - NORTHSHORE SCHOOL DISTRICT #417

Laboratory Demographics

  • CLIA Code: 50D2211607
  • Facility Name: NORTHSHORE SCHOOL DISTRICT #417
  • Facility Address: 3330 MONTE VILLA PKWY
    BOTHELL, WA
    ZIP 98021
  • Facility Phone: 425 408-6000
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JOLYNN BERGE
  • NPI Number: 1366476996
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 50D2211607
LAB Type School/Student Health Service
Facility Name NORTHSHORE SCHOOL DISTRICT #417
Street 3330 MONTE VILLA PKWY
City BOTHELL
State WA
ZIP 98021
Phone 425 408-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2021
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director JOLYNN BERGE

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