| Provider or Supplier Name: | DEPARTMENT OF HEALTH PUBLIC HEALTH LABORATORIES |
|---|---|
| CMS Certification Number: | 50D0661453 |
| Provider or Supplier Type: | Laboratory |
| Address: | 1610 NE 150TH ST |
| SHORELINE, WA 98155 | |
| Phone Number: | 206 418-5400 |
| Participation Date: | 09/01/1992 |
| Region: | (X) Seattle |
| Ownership Type: | Government - State |