50D2275626 CLIA NUMBER - NORTHWEST WEIGHT & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 50D2275626
  • Facility Name: NORTHWEST WEIGHT & WELLNESS CENTER
  • Facility Address: 125 130TH ST SE STE 101
    EVERETT, WA
    ZIP 98208
  • Facility Phone: 425 224-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT MICHAELSON
  • NPI Number: 1396123865
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2275626
LAB Type Physician Office
Facility Name NORTHWEST WEIGHT & WELLNESS CENTER
Street 125 130TH ST SE STE 101
City EVERETT
State WA
ZIP 98208
Phone 425 224-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ROBERT MICHAELSON

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