50D2319427 CLIA NUMBER - VITAL PRO HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 50D2319427
  • Facility Name: VITAL PRO HEALTH, PLLC
  • Facility Address: 2007 152ND AVE NE ST V
    REDMOND, WA
    ZIP 98052
  • Facility Phone: 425 440-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRINE VAIMAN
  • NPI Number: 1902625775
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2319427
LAB Type Physician Office
Facility Name VITAL PRO HEALTH, PLLC
Street 2007 152ND AVE NE ST V
City REDMOND
State WA
ZIP 98052
Phone 425 440-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director IRINE VAIMAN

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