50D2308719 CLIA NUMBER - MYROSTAR HEALTH

Laboratory Demographics

  • CLIA Code: 50D2308719
  • Facility Name: MYROSTAR HEALTH
  • Facility Address: 1515 116TH AVE NE STE 101
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 206 687-1558
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDY HSU
  • NPI Number: 1346010659
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2308719
LAB Type Physician Office
Facility Name MYROSTAR HEALTH
Street 1515 116TH AVE NE STE 101
City BELLEVUE
State WA
ZIP 98004
Phone 206 687-1558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JUDY HSU

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