CORNERSTONE PRIMARY CARE, PLLC
NPI 1841681707
Clinic/Center - Health Service in Renton, WA

Active since February 13, 2015CLIA 50D0630803 · Microscopy
17900 TALBOT RD S STE 102, RENTON, WA 98055(425) 255-9310 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cornerstone Primary Care, Pllc NPPES

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

CORNERSTONE PRIMARY CARE, PLLC (NPI 1841681707) is a healthcare organization registered as a health service in Renton, Washington and active in the NPI registry since February 2015. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists John Mayeno, Member, as its authorized official.

NPPES Registry Identity

NPI1841681707
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCORNERSTONE PRIMARY CARE, PLLC
Location Address17900 TALBOT RD S STE 102Renton, WA 98055-8212
Mailing Address17900 Talbot Rd S Ste 102Renton, WA 98055-8212 · (425) 255-9310
Organization SubpartNo
Authorized OfficialJohn MayenoMember · (425) 255-9310
Enumeration DateFebruary 13, 2015
Last NPPES UpdateDecember 30, 2015
NPI 1841681707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in WA · MD 00023599
17900 TALBOT RD S STE 102, Renton, WA 98055

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 50D0630803

Cornerstone Primary Care · Renton, WA
Active · expires Apr 4, 2028
CLIA Number50D0630803
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 1996
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCraig H. Mcgoran
Laboratory Phone(425) 255-9310
Laboratory LocationCornerstone Primary Care17900 Talbot Road S, Suite 102, Renton, WA 98055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Cornerstone Primary Care, PLLC's NPI number?

The NPI number for Cornerstone Primary Care, PLLC is 1841681707. It was assigned to this organization in the NPPES registry on February 13, 2015.

Where is Cornerstone Primary Care, PLLC located?

Cornerstone Primary Care, PLLC is located at 17900 Talbot Rd S Ste 102, Renton, WA 98055. The listed phone number is (425) 255-9310.

What is Cornerstone Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Cornerstone Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0630803) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cornerstone Primary Care, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Cornerstone Primary Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cornerstone Primary Care, PLLC was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.