OrganizationActive
Certified Lab Services
NPI 1568068609 · Clinical Medical Laboratory · Seattle, WA
Provider details
- NPI number
- 1568068609
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jennifer Wallace, Owner/ Operator(480) 685-7530
Specialties & taxonomies
Laboratories
- Point of Service305S00000X
Managed Care Organizations
- Public Health or Welfare Agency251K00000X
Agencies
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Home Health Agency251E00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Practice location
3123 Fairview Ave E Ste 200
Seattle, WA 98102-3051
Phone: (480) 685-7530
Fax: (480) 900-8853
Approximate (ZIP-level) locationGet directions
Mailing address
3123 Fairview Ave E Ste 200
Seattle, WA 98102-3051
Other names (DBA / former)
- Doing business as
- Certified Lab Services
Registry dates
- Enumerated
- 2020-12-04
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.