50D2217958 CLIA NUMBER - PATHWAY GERIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 50D2217958
  • Facility Name: PATHWAY GERIATRICS PLLC
  • Facility Address: 8201 164TH AVE NE STE 200
    REDMOND, WA
    ZIP 98052
  • Facility Phone: 425 818-5311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE JOHNSON
  • NPI Number: 1154924207
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2217958
LAB Type Physician Office
Facility Name PATHWAY GERIATRICS PLLC
Street 8201 164TH AVE NE STE 200
City REDMOND
State WA
ZIP 98052
Phone 425 818-5311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2021
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director STEPHANIE JOHNSON

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