50D2306750 CLIA NUMBER - ETS - SKCC MOBILE 1

Laboratory Demographics

  • CLIA Code: 50D2306750
  • Facility Name: ETS - SKCC MOBILE 1
  • Facility Address: 1412 SW 43RD ST STE 140
    RENTON, WA
    ZIP 98057
  • Facility Phone: 425 264-0750
  • Facility Type: Other - DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: JAMES DARNTON
  • NPI Number: 1417405333
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2306750
LAB Type Other - DRUG TREATMENT
Facility Name ETS - SKCC MOBILE 1
Street 1412 SW 43RD ST STE 140
City RENTON
State WA
ZIP 98057
Phone 425 264-0750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - DRUG TREATMENT
Lab Director JAMES DARNTON

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