Organization
WASHINGTON STATE DEPARTMENT OF HEALTH
Active
Parent organization
WASHINGTON STATE DEPARTMENT OF HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON STATE DEPARTMENT OF HEALTH
Authorized official
LOIS SPEELMAN (ASST. SECRETARY FINANCIAL SERVICES)
(360) 236-4503
Entity
Organization
Contact information
Practice address
1610 NE 150TH ST, SHORELINE, WA 98155-7224
(206) 418-5400
(206) 418-5445
Mailing address
1610 NE 150TH ST, SHORELINE, WA 98155-7224
(206) 418-5400
(206) 418-5445
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MTSA.FS.00001327
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D0661543
CLIA
WA
Enumeration date
03/11/2011
Last updated
03/11/2011
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