50D2321443 CLIA NUMBER - ASHLEY FULLER, MD PLLC

Laboratory Demographics

  • CLIA Code: 50D2321443
  • Facility Name: ASHLEY FULLER, MD PLLC
  • Facility Address: 1101 MADISON ST STE 1270
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 866-5145
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ASHLEY FULLER
  • NPI Number: 1912100116
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 50D2321443
LAB Type Physician Office
Facility Name ASHLEY FULLER, MD PLLC
Street 1101 MADISON ST STE 1270
City SEATTLE
State WA
ZIP 98104
Phone 206 866-5145
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ASHLEY FULLER

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