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

NPI Status: Active since December 04, 2020

Contact Information

3123 FAIRVIEW AVE E STE 200
SEATTLE, WA
ZIP 98102
Phone: (480) 685-7530
Fax: (480) 900-8853

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 50D2322596
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 04-04-2028

About CERTIFIED LAB SERVICES

This page provides the complete NPI Profile along with additional information for Certified Lab Services, a provider established in Seattle, Washington operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1568068609 assigned on December 2020. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The provider's . The authorized official of this NPI record is Jennifer A Wallace Medical Assistant (Owner/ Operator)

NPI
1568068609
Provider Legal Name
CERTIFIED LAB SERVICES
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3123 FAIRVIEW AVE E STE 200 SEATTLE, WA 98102
Location Phone
(480) 685-7530
Location Fax
(480) 900-8853
Mailing Address
3123 FAIRVIEW AVE E STE 200 SEATTLE, WA 98102
Mailing Phone
(480) 685-7530
Mailing Fax
(480) 900-8853
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2020
Last Update Date
05-19-2026
Code Navigator

Establishments like Certified Lab Services are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2251K00000XAgencies

Public Health or Welfare

 
3253Z00000XAgencies

In Home Supportive Care

 
4261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

 
5261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 
6305S00000XManaged Care Organizations

Point of Service

 
7310400000XNursing & Custodial Care Facilities

Assisted Living Facility

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER A WALLACE MEDICAL ASSISTANT

Authorized Official Title
OWNER/ OPERATOR
Authorized Official Phone
(480) 685-7530

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
03D2197602OTHER (01)AZUS DEPT OF HEALTH AND HUMAN SERVICES
PC61547365OTHER (01)WAPHLEBOTOMIST LICENSE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2322596
Facility Type
Mobile Laboratory
Certificate Effective Date
April 23, 2025
Certificate Expiration Date
April 04, 2028
Laboratory Director
JENNIFER WALLACE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Certified Lab Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CERTIFIED LAB SERVICES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568068609, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 0 + 6 + 1 + 6 + 6 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1568068609.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568068609, enumerated as an "organization" on December 04, 2020.

The provider is located at 3123 FAIRVIEW AVE E STE 200 SEATTLE, WA 98102 and the phone number is (480) 685-7530.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.