50D2229520 CLIA NUMBER - SEATTLE THEATRE GROUP

Laboratory Demographics

  • CLIA Code: 50D2229520
  • Facility Name: SEATTLE THEATRE GROUP
  • Facility Address: 901 PINE ST
    SEATTLE, WA
    ZIP 98101
  • Facility Phone: (206) 467-5510
  • Facility Type: Other - THEATRE
  • Facility Type: Waiver
  • Lab Director: JACK KLITZMAN
  • NPI Number: 1306388079
  • Taxonomy: 101YM0800X - Counselor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2229520
LAB Type Other - THEATRE
Facility Name SEATTLE THEATRE GROUP
Street 901 PINE ST
City SEATTLE
State WA
ZIP 98101
Phone 2064675510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2021
Certificate Expiration Date 4/4/2028
Facility Type Other - THEATRE
Lab Director JACK KLITZMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026