50D2270130 CLIA NUMBER - PNW FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2270130
  • Facility Name: PNW FAMILY MEDICINE
  • Facility Address: 1310 116TH AVE NE STE B
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 285-6900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATHALIE ACHER
  • NPI Number: 1558082073
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2270130
LAB Type Physician Office
Facility Name PNW FAMILY MEDICINE
Street 1310 116TH AVE NE STE B
City BELLEVUE
State WA
ZIP 98004
Phone 425 285-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2022
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director NATHALIE ACHER

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This page was last updated on: 6/4/2025