50D2240231 CLIA NUMBER - LAKE WASHINGTON SCHOOL DISTRICT #414

Laboratory Demographics

  • CLIA Code: 50D2240231
  • Facility Name: LAKE WASHINGTON SCHOOL DISTRICT #414
  • Facility Address: 16250 NE 74TH ST
    REDMOND, WA
    ZIP 98052
  • Facility Phone: 425 936-1242
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SHELLEY O'ROURKE
  • NPI Number: 1326412867
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 50D2240231
LAB Type School/Student Health Service
Facility Name LAKE WASHINGTON SCHOOL DISTRICT #414
Street 16250 NE 74TH ST
City REDMOND
State WA
ZIP 98052
Phone 425 936-1242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2021
Certificate Expiration Date 4/4/2028
Facility Type School/Student Health Service
Lab Director SHELLEY O'ROURKE

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