50D2329643 CLIA NUMBER - BISON HEALTH LLC

Laboratory Demographics

  • CLIA Code: 50D2329643
  • Facility Name: BISON HEALTH LLC
  • Facility Address: 401 OLYMPIA AVE NE SUITE 353
    RENTON, WA
    ZIP 98056
  • Facility Phone: 206 948-2582
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: STACEY MERTES
  • NPI Number: 1851115505
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 50D2329643
LAB Type Comp. Outpatient Rehab Facility
Facility Name BISON HEALTH LLC
Street 401 OLYMPIA AVE NE SUITE 353
City RENTON
State WA
ZIP 98056
Phone 206 948-2582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 4/4/2028
Facility Type Comp. Outpatient Rehab Facility
Lab Director STACEY MERTES

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