CERTIFIED LAB SERVICES
NPI 1568068609
Clinical Medical Laboratory in Seattle, WA

Active since December 04, 2020CLIA 50D2322596 · Waiver
3123 FAIRVIEW AVE E STE 200, SEATTLE, WA 98102(480) 685-7530(480) 900-8853 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2026, Dec 4, 2024, Dec 4, 2020 (3 updates tracked since 2020).

About Certified Lab Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CERTIFIED LAB SERVICES (NPI 1568068609) is a healthcare organization registered as a clinical medical laboratory in Seattle, Washington and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jennifer A Wallace, Owner/ Operator, as its authorized official.

NPPES Registry Identity

NPI1568068609
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCERTIFIED LAB SERVICES
Location Address3123 FAIRVIEW AVE E STE 200Seattle, WA 98102-3051
Mailing Address3123 Fairview Ave E Ste 200Seattle, WA 98102-3051 · (480) 685-7530 · Fax (480) 900-8853
Fax(480) 900-8853
Organization SubpartNo
Authorized OfficialJennifer A WallaceOwner/ Operator · (480) 685-7530
Enumeration DateDecember 4, 2020
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1568068609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedPoint of ServiceTaxonomy 305S00000X
Also ListedAssisted Living FacilityTaxonomy 310400000X
3123 FAIRVIEW AVE E STE 200, Seattle, WA 98102

Other Names 1

Doing Business AsCertified Lab Services

Other Identifiers 2

Other03D2197602AZ · Us Dept Of Health And Human Services
OtherPC61547365WA · Phlebotomist License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2322596

Certified Lab Services · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2322596
Laboratory TypeMobile Laboratory
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJennifer Wallace
Laboratory Phone(480) 685-7530
Laboratory LocationCertified Lab Services3409 Mcdougall Ave Ste 200, Everett, WA 98201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Pathology (Phlebotomy)
3123 FAIRVIEW AVE E STE 200
SEATTLE, WA 98102
Technician, Pathology (Phlebotomy)
3123 FAIRVIEW AVE E STE 200
SEATTLE, WA 98102
Counselor (Mental Health)
3123 FAIRVIEW AVE E STE 200
SEATTLE, WA 98102
Clinical Medical Laboratory
3123 FAIRVIEW AVE E STE 200
SEATTLE, WA 98102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Certified Lab Services's NPI number?

The NPI number for Certified Lab Services is 1568068609. It was assigned to this organization in the NPPES registry on December 4, 2020.

Where is Certified Lab Services located?

Certified Lab Services is located at 3123 Fairview Ave E Ste 200, Seattle, WA 98102. The listed phone number is (480) 685-7530.

What is Certified Lab Services's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Certified Lab Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2322596) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Certified Lab Services was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.