50D2303390 CLIA NUMBER - SHINE PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 50D2303390
  • Facility Name: SHINE PEDIATRICS, PLLC
  • Facility Address: 1600 116TH AVE NE STE 304
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 256 975-2494
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATALIE BURLESON
  • NPI Number: 1821851239
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2303390
LAB Type Physician Office
Facility Name SHINE PEDIATRICS, PLLC
Street 1600 116TH AVE NE STE 304
City BELLEVUE
State WA
ZIP 98004
Phone 256 975-2494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director NATALIE BURLESON

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