50D2327382 CLIA NUMBER - WEDGWOOD GARDENS ADULT FAMILY HOME

Laboratory Demographics

  • CLIA Code: 50D2327382
  • Facility Name: WEDGWOOD GARDENS ADULT FAMILY HOME
  • Facility Address: 4046 NE 86TH ST
    SEATTLE, WA
    ZIP 98115
  • Facility Phone: 206 605-0344
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: DANDAN MIAO
  • NPI Number: 1689111999
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2327382
LAB Type Other - AFH
Facility Name WEDGWOOD GARDENS ADULT FAMILY HOME
Street 4046 NE 86TH ST
City SEATTLE
State WA
ZIP 98115
Phone 206 605-0344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director DANDAN MIAO

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