50D2313430 CLIA NUMBER - QUANTUMLAB INNOVATIVE LABORATORY SOLUTION PLLC

Laboratory Demographics

  • CLIA Code: 50D2313430
  • Facility Name: QUANTUMLAB INNOVATIVE LABORATORY SOLUTION PLLC
  • Facility Address: 7304 LAKEWOOD DR W
    LAKEWOOD, WA
    ZIP 98499
  • Facility Phone: 888 522-7443
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: EBONY GUTHRIE
  • NPI Number: 1750124830
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D2313430
LAB Type Independent
Facility Name QUANTUMLAB INNOVATIVE LABORATORY SOLUTION PLLC
Street 7304 LAKEWOOD DR W
City LAKEWOOD
State WA
ZIP 98499
Phone 888 522-7443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 4/4/2028
Facility Type Independent
Lab Director EBONY GUTHRIE

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This page was last updated on: 6/4/2025