50D2322596 CLIA NUMBER - CERTIFIED LAB SERVICES

Laboratory Demographics

  • CLIA Code: 50D2322596
  • Facility Name: CERTIFIED LAB SERVICES
  • Facility Address: 3409 MCDOUGALL AVE STE 200
    EVERETT, WA
    ZIP 98201
  • Facility Phone: 480 685-7530
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JENNIFER WALLACE
  • NPI Number: 1568068609
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D2322596
LAB Type Mobile Laboratory
Facility Name CERTIFIED LAB SERVICES
Street 3409 MCDOUGALL AVE STE 200
City EVERETT
State WA
ZIP 98201
Phone 480 685-7530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/4/2028
Facility Type Mobile Laboratory
Lab Director JENNIFER WALLACE

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