50D2255936 CLIA NUMBER - NEWPORT ACADEMY - AXIS

Laboratory Demographics

  • CLIA Code: 50D2255936
  • Facility Name: NEWPORT ACADEMY - AXIS
  • Facility Address: 4040 LAKE WASHINGTON BLVD NE STE 201
    KIRKLAND, WA
    ZIP 98033
  • Facility Phone: 714 393-3523
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: COLIN WENDT
  • NPI Number: 1417553579
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2255936
LAB Type Comp. Outpatient Rehab Facility
Facility Name NEWPORT ACADEMY - AXIS
Street 4040 LAKE WASHINGTON BLVD NE STE 201
City KIRKLAND
State WA
ZIP 98033
Phone 714 393-3523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2022
Certificate Expiration Date 4/4/2028
Facility Type Comp. Outpatient Rehab Facility
Lab Director COLIN WENDT

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This page was last updated on: 3/20/2025