50D2313264 CLIA NUMBER - BELLEVUE LEGACY PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 50D2313264
  • Facility Name: BELLEVUE LEGACY PRIMARY CARE PLLC
  • Facility Address: 2820 NORTHUP WAY STE 200
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 484-4050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVIN P. SCHOCK
  • NPI Number: 1619712320
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2313264
LAB Type Physician Office
Facility Name BELLEVUE LEGACY PRIMARY CARE PLLC
Street 2820 NORTHUP WAY STE 200
City BELLEVUE
State WA
ZIP 98004
Phone 425 484-4050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DEVIN P. SCHOCK

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